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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 ........................................................................ $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 YESENIA GARCIA BARCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: ee to pay above to~~~ accorch~~ issuer agreement. Si afore: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 745792 04/29/2014 10:32:39 EDT Credit Card CazdNumber: ************9626 029667 00949603 $50.00 $50.00 YESENIA GARCIA BARCA Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Con ence Fee tal: 745792 04/29/2014 10:32:39 EDT Credit Card CazdNumber: ************9626 029668 00949601 $3.00 $3.00 I agree to pay above total amount cording to the cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: ~, ~/'~~1/t Thank YOU Printed: 04/29/2014 10:32:45 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/29/2014