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Credit Card
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACT10N TYPE: SALE PA YMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 551.50 ............................................................................................................................................................................................................................................., TOWN OF W APPlNGER 20 Middlehush Rd Wappingers Falls,NY 12590 845-297-4158 RADHAMES TATIS .............................................................................................................................................................................................................................................. Transaction Nwnber: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Nwnber: MiscCash ~ Total: ^ I agree to pay above total amount 8C . _ . ~er ~~ Signature: u__ 222412 03/07/2012 11:04:00 EST Credit Card CardNwnber: ............0389 00719R 00526529 $50.00 550.00 NPS MUNIClPA Y CONV FEE - TOWN OF W APPlNGER, NY 400 Technology Way Scarborough,ME 04074 877-564.5656 RADHAMES TATIS .............................................................................................................................................................................................................................................. Transaction Nwnber: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Nwnber. Convenience Fee Total: 222412 03/07/2012 II :04:00 EST Credit Card CardNwnber: ............0389 00713R 00526530 $1.50 $1.50 d this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 03/07/201211:04:04 https:/ /trx.npspos.comlpayapp/app?component=%24 DirectLink&page= Receipt&service=dir... 3/7/2012