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Credit Card
Receipt
Page 1 ofl
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$40.00
$41;50
..............................................................................................................................................................................................................................................
TOWN OF W APPlNGER
20 Middlebush Rd
WappinSetB Falls,NY 12590
845-297-4158
lARAD FATlGATE
.....................................................................................................................-................................................................................--..................................,
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Au1horizalion:
Reference Number:
~~
I ~e to pay above ount . Ute card i88ll8l' asreement
Slsnature:
'=::'
249248
OS/29/201208:58:41 EDT
Credit Card
CardNumber: ............1848
978939
00550589
$40.00
~.OO
NPSMUNIClPA Y CONV FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborousb,ME 04074
877-564-5656
JARAD FATIGATE
............................................................................................................................-...-..........-.........................-.......................-...................................,
Transaction Number:
DateProcesaed:
Transaction Type:
MASTERCARD - Swiped
Au1horizalion:
Reference Number:
Convenience Fee
Tolal:
249248
OS/29/201208:58:41 EDT
Credit Card
CardNumber: ............1848
978936
00550587
$1.50
SUO
to card iu_ agreanent &; undentand this.convenience fee will be cluuged to allow my payment via credit card.
.--
Sisnature:
https://trx.npspos.com/payapp/app?component=%24DirectLink.&page=Receipt&service=d... 5/29/2012
