credit card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
Transaction Type: Sale
Payment Item
Reference ID
Amount
Zoning
$15.00
NPS Convenience Fee
$1.50
Total:
$16.50
Town of Wappinger
20 Middlebush Rd
Wappingers Falls, NY 12590
845-297 -4158
David Stewart
DISCOVER - Key Entered
CardNumber: ************3750
Card expo date: **/**
Auth #: 02220R
Ref#: 00571477
Timestamp:06/22/2010 13:47:13
Zoning $15.00
Total $15.00
I agree to pay a9w~ total amount according to the card issuer agreement.
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Sign: (.?--:~ . ..-- ---/., -..
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NPS Municipay Conv Fee - Town of Wappinger, NY
400 Technology Way
Scarborough, ME 04074
877-564-5656
David Stewart
DISCOVER - Key Entered
CardNumber: ************3750
Card expo date: **1**
Auth #: 02228R
Ref#: 00571478
Timestamp:06/22/2010 13:47:14
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MiiuGPAY
--~~
Convenience Fee $1.50
Total
$1.50
I agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be
charged to a~low.)ayment via c:ed~ c~\
Sign: L.___~dc:: /z////~~}:~
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