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Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$50.00
$51.50
...............................11...........................................................................................................................................................................11................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers F alls,NY 12590
845-297-4158
TERRY L GASPERI
..............................................................................................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Misc Cash
Total:
238509
04/30/2012 10:02:16 EDT
Credit Card
CardNumber: ............7580
030937
00554030
$50.00
550,00
'''''' "Y:fC""" -~~-".. omd-r
Signature: .... ~ ~/ _9---\./
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
TERRY L GASPERI
...........................................1111..............11..............................................................................................................................................................................,
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
238509
04/30/201210:02:16 EDT
Credit Card
CardNumber: ............7580
030777
00554028
$1.50
$1.50
1 agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:-r( C~.A. ~~
Printed: 04/30/2012 10:02:30
https:/ Itrx.npspos.comlpayapp/app?component=%24DirectLink&page=Receipt&service=d... 4/30/2012
