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Credit Card (2)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT S1.S0 SS8.00 S59.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappinger5 Falls,NY 12590 845-297-4158 .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 226867 03/22/2012 14:24:40 EDT Credit Card CardNlDDber: ............9901 022940 00832786 S58.00 S58,00 I agree to pay!"ve total amoUQt.accordingto the ~ Signature: c...~ NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 g77-564-5656 .............................................................................................................................................................................................................................................1 Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 226867 03/22/2012 14:24:40 EDT Credit Card CardNumber: ............9901 022924 00832785 S1.50 SI.50 I agree to pay ~e ~ounl accordin~. the ~~ agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: ~ I,J)~ Printed: 03/22/2012 14:24:43 https:lltrx.npspos.comJpayapp/app?component=%24DirectLink&page=Receipt&service=d... 3/22/2012