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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $40.00 $43.00 LOREN RAIMO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pay above to oust according to caz issuer agreement. Signatur ' MUN IPA ERVICE FEE TOWN OF WAPPINGER 400 Techno ogy Way Scazborough,ME 04074 877-564-5656 726940 04/11/2014 15:41:49 EDT Credit Card CazdNumber: ********"***6925 04561B 00909991 $40.00 $40.00 LOREN RAIMO Transaction Number: 726940 Date Processed: 04/11/2014 15:41:49 EDT Transaction Type: Credit Cazd VISA-Swiped CazdNtunber: ************6925 Authorization: 04559B Reference Number: 00909990 Conv ence Fee $3.00 1: $3.00 I agree to pay above total according to the cazd,~ agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 04/ 11 /2014 15:41:53 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 11 /2014