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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OP WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 553.00 DWIGHT HAMILTON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Tote agree to pay a otal amont accordi o the card issu agreement. Signatwe: MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 718591 04/04/2014 13:55:20 EDT Credit Cazd CardNumber: *******"****8966 055599 00814194 $50.00 $50.00 DWIGHT HAMILTON Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 718591 04/04/2014 13:55:20 EDT Credit Card CazdNttmber: ************8966 055592 00814193 $3.00 Con nience Fee $3.00 T 1: 1 agree to pay ably/e total amount acco~ g to the card issuer Bement & understand this convenience fee will be charged to allow my payment via credit card. Signature: ~v/ 4 ~ ~_ Thank You ri/ Printed: 04/04/2014 13:5 5:55 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/4/2014