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Credit Card
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT 51.50 520.00 $21.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlehush Rd Wappingers Falls,NY 12590 845-297-4158 LYNN A HOFFMAN .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD. Swiped Authorization: Reference Number: Mise Cash Total: 225306 03/1612012 14:38:20 EDT Credit Card CardNumher: ............4134 01636B 00371233 520.00 520.00 I agree to pay ahove total amo'?J~card issuer agreement. Signature: ~{,R, . NPS MUNICIPA Y CONV FEE. TOWN OF WAPPINGER, NY 400 Technology Way Scarhorough,ME 04074 877-564-5656 LYNN A HOFFMAN Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Convenience Fee Total: 225306 03/161201214:38:20 EDT Credit Card CardNumher: ............4134 o 1633B 00371229 51.50 $1.50 uer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 03/1612012 14:38:24 https:/ /trx.npspos,com/payapp/app?component=%24 DirectLink&page=Receipt&service=d.., 3/16/2012