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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Penni[s TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297.4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 MARK MARTIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 759335 05/08/2014 13:06:48 EDT Credit Card CardNumber: rr»rrrrr*rrr7677 09484G 00760005 $50.00 $50.00 Permits otal: I agree to pay above to ccording to th su n . Signature: MUNICIPAY`SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 X MARK MARTIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Convenience Fee Total: I agree to pay abo o accor ' o the c grunt & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 05/08/2014 13:06:55 759335 05/08/2014 13:06:48 EDT Credit Card CardNumber: rrrrrrrrrrar7677 09484G 00760004 $3.00 $3.00 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/8/2014