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Credit Card (4)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 $51.50 ..........................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlehush Rd Wappingers Fal1s,NY 12590 845-297-4158 DONALD BREWER MASTERCARD - Swiped Auth #: 051752 Mise Cash TOTAL CardNumber: ............1029 Ref#: 00697813 Timestamp: 10/05/2011 09:58:37 EDT $50.00 $50.00 1 agree t Sign: NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 DONALD BREWER MASTERCARD - Swiped Auth #: 051742 CardNumber: ............1029 Ref#: 00697814 Timestamp: 10/05/2011 09:58:37 EDT $1.50 Convenience Fee T<YfAL $1.50 ve total amount according to the card issuer agr ement & understand this convenience fee will be charged to allow my payment via credit card. Sign: Transaction Number: 181786 Printed: 10/0512011 09:58:40 https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page=Receipt&service=d... 10/5/2011