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Credit Card (2)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $30.00 TOTAL: $33.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 RALPH D EMMONS . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 759743 Date Processed: 05/08/2014 15:43:21 EDT Transaction Type: DISCOVER -Swiped Credit Card CardNumber: ***********"4470 Authorization: 00876P Reference Number: 00829614 Misc Cash $30.00 Total: $30.00 I agree to pay abov tal amt acppr o the c issuer agreement. Signature: ~~//~~1//Jj// ~ j~~ir~fit~Ji//fj MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 RALPH D EMMONS Transaction Number: 759743 Date Processed: 05/08/2014 15:43:21 EDT Transaction Type: DISCOVER-Swiped Credit Card CardNumber: ************4470 Authorization: 00874P Reference Number . 00829615 Convenience Fee $3.00 Total: $3.00 I agree to pay above al am t ac the car 'ssuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 05/08/2014 15:43:25 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/8/2014