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Credit Card (4)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $15.00 TOTAL: $18.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 MARK S PLASS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Mi 'Cash otal: \ I agree to pay abo~ve/to,{{~1 a/mJ/'~/un/t,,accor/ding to the cazd issuer agreement. MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 741743 04/25/2014 11:14:05 EDT Credit Card CazdNumber ************7328 051411 00830529 $15.00 $15.00 MARK S PLASS . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number: 74 (743 Date Processed: 04/25 /2014 11:14:05 EDT Transaction Type: Credit Cazd VISA -Swiped CazdNumber. ************7328 Authorization: 061411 Reference Number: 00830531 Convenience Fee $3.00 tal: $3.00 I agree to pa above total amount acecording to the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit card. ~ ~ /, Signature: `//J J "t;.~ Thank You Printed: 04/25/2014 11:14:10 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/25/2014