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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 $30.00 53 1.50 .................................................................................................................................................................................................................................11........." TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 NEAL MARSH .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 243030 05/10/2012 14:43:55 EDT Credit Card CardNumber: ............4179 00723Z 00242584 $30.00 530.00 I agree to pay above total amount according to the card issuer agreement. Signaliu'e: ~~-uA.A.I~ NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877 -564-5656 NEAL MARSH .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 243030 05/10/2012 14:43:55 EDT Credit Card CardNumber: ............4179 0070lZ 00242583 $1.50 51.50 I 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: ~ p ,('* "'j,I;f" (,-c Printed: 05/10/2012 14:44:09 https:/ Itrx.npspos.comlpayapp/app?component=%24 DirectLink&page=Receipt&service=d... 5/10/2012