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Receipt TRANSACTION TYPE: SALE TRANSACTION SUMMARY REFERENCE NUMBER AMOUNT PA YMENTlTEM $1.50 NPS Convenience Fee $15.00 Misc Cash $16.50 :::~..._....__.._............_.................._...._..__._.................................-.....-.........-....-.......................-......--.......-.......-..-......-................. TOWN OF W APPlNGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-415g ROBERT RELYEA .--..........................................................-................................................--..-..............................................-..--..........................-......;;;;;,;, Transaction Number: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Number: Misc Cash TolBl: ,-~''''''--'i{;f' 1~1'-- Slgna~:~ ~~ 01/13/201215:46:32 ESi Credit Cal d CardNumber: ************41 S.; 013S('!c 00888.\"1, $15 (HI $15.\111 NPS M\lNICIPA Y CONV FEE - TOWN OF WAPPINGER. NY 400 Technology Way Scarhorough,ME 04074 877-564-5656 ROBERT RELYEA ..-....-....-..........-...-.-...--........--......-...-...-......--..-...-.....-..--...-....-....-.-.-...-.....-...........-.....-..-...--.-......................... Transaction Number: Date processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Number: Convenience Fee TolBl: 2U()~!()(1 01/1312012 15:4632 ISI Credit :.. ard CardNumber: .......**H ..11 x4 01 "ii,21( OOSgg.127 S i 50 ,1511 '''"'. ""'iZ""" -- ~f-' -""-'''''''''' ...in b.o,_ .,,""" ",,-""" -... Signature: ~ .A'_- ---- "-- Printed: 01/1312012 15:47:04 https:lltrx.npspos.com/payapp/app ?componenF"/,24 DirectLink&page""Receipt&service""d... 1/1 ] '0. (i \ 2