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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 EILEEN ALVARADO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750184 Date Processed: 05/01/2014 12:06:54 EDT Transaction Type: VISA -Swiped Credit Card CardNumber: ************1031 Authorization: 858810 Reference Number: 00549995 Misc Cash $50.00 Total: $50.00 I agree to pay to amount acc ing o c issuer agreement. Signature: ~~1.' MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 EILEEN ALVARADO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: 750184 Date Processed: 05/01/2014 12:06:54 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: ************1031 Authorization: 178029 Reference Number: 00549994 Convenience Fee $3.00 Total: $3.00 I agree to pa e t amount acco ng e c d issuer agreeme un d this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: OS/0l /2014 12:07:01 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/1 /2014