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Credit Card (2)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ANN E BYRNE Transaction Number: 724644 Date Processed: 04/10/2014 10:21:09 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: * * * * * * ** **"*6228 Authorization: 391698 Reference Number: 00437190 Misc Cash $50.00 Total: $50.00 agree to pay abov of amount g to the card issuer agreement. __ Signature: ~ MUNICIPAY""SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 ANN E BYRNE Transaction Number: 724644 Date Processed: 04/10/2014 10:21:09 EDT Transaction Type: Credi[ Card VISA -Swiped CardNumber: * * * * ** * * * * * *6228 Authorization: 391704 Reference Number: 00437192 Convenience Fee $3.00 Total: $3.00 agree to pay abov tal ount cco mg to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: ~ ~ Thank You Printed: 04/ /2014 10:21:1 5 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 10/2014