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Credit Card
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 John H Millus Transaction Number: 757478 Date Processed: 05/07/2014 10:39:43 EDT Transaction Type: Credit Card VISA-Key Entered CazdNumber: ***"********9878 Authorization: 170013 Reference Number: 00390160 Permits $50.00 Totsl: $50.00 gree to pay above total ount according to 1hg rareN ement. ~~ ~ ~~ Signature: ''~ ~e=%'~ ~ NICIPAY*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 John H Millus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 757478 Date Processed: 05/07/2014 10:39:43 EDT Transaction Type: Credit Card VISA-Key Entered CardNumber: ************9878 Authorization: 170009 Reference Number: 00390159 Convenience Fee $3.00 otal: $3.00 I agree to pay abo ount a iss agre nt & understand this convenience fee will be chazged to allow my payment via aedit cazd. Signature: ank You Printed: 05/07/2014 10:39:48 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/7/2014