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Credit Card (2)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT 51.50 550.00 551.50 ...111..........................................................................................................11............................................................................................................................ TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 DEBRA K GRUSCHOW .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: 232084 04110/201211:28:12 EDT Credit Card CardNumber: ............5177 34246B 00560504 $50.00 550.00 I agree to pay above total amount according to the car4 agreement.k Signature:\} ~ 1< . A L~ F NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 DEBRA K GRUSCHOW Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 232084 04/10/201211:28:12 EDT Credit Card CardNumber: ............5177 34357B 00560505 51.50 51.50 Printed: 04/10/2012 11:28:15 https:/ /trx.npspos.com/payapp/app?component=%24 DirectLink&page=Receipt&service=d... 4/10/2012