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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ALLEN D OWEN Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 REFERENCE NUMBER Transaction Number: 752921 Date Processed: 05/022014 16:01:40 EDT Transaction Type: Credit Card VISA-Swiped CardNumber: ************0795 Authorization: 002431 Reference Number: 00528294 Misc Cash $30,00 Total: $30.00 ~! ~~I--``agree to p~above total amount according to the card issuer agreement. L/~ignature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 ALLEN D OWEN ' ~j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 752921 05/02/2014 16:01:40 EDT Credit Card CardNumber: ************0795 002394 00528290 Convenience Fee Total: agree to pay ab e to ~ount a cordi 'to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 05/02/2014 16:01:50 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/2/2014