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Credit Card (3)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $65.00 $68.00 JOHN S MILLMAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 740157 Date Processed: 04/24/2014 11:08:01 EDT Transaction Type: Credit Cazd VISA -Swiped CardNumber: "******"*"*"7623 Authorization: 954617 Reference Number: 00509891 Misc Cash $65.00 otal: $65.00 I agree to pay v to oun[ cording to the c agreement. s~t~e~ '2/' ~ -'-. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 JOHN S MILLMAN Transaction Number 740157 Date Processed: 04/24 /2014 11:08:01 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber: *******"•***7623 Authorization: 954616 Reference Number: 00509890 Convenience Fee $3.00 Total: $3.00 agree to pay o tot ount accosfiing to the card issuer agreement & un derstand this convenience fee will be chazged to allow my payment via credit cazd. , ~ Si ~ / ~ ~ ~:~ / "`"`-~ gnature: Thank You Printed: 04/24/2014 11:08:08 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/24/2014