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Credit Card
Receipt Page 1 of1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $29.00 $30.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 DEREK SCHMITT ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 239825 051021201211:13:15 EDT Credit Card CardNumber: ............9235 R7561B 00566467 $29.00 $29.00 1 ~e to ~labo.l5al amount according ~ent. SIgnature: ~ I ~'- \ NPS MUNICIPAY CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 DEREK SCHMITT .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 239825 051021201211:13:15 EDT Credit Card CardNumber: ............9235 R7566B 00566468 $1.50 $1.50 I agree to pj<Jabove total amount according to the card issuer ~ent & understand this convenience fee will be charged to allow my payment via credit card. Signature:. ~C-. \~~ Printed: 0510212012 11:13:36 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/2/2012