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Credit Card (3)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Casb TOTAL: REFERENCE NUMBER AMOUNT 5 !.SO 520.00 521.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebusb Rd Wappingers Falls,NY 12590 845-297-4158 ARTI A KADAKIA .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD. Swiped Authorization: Reference Number: Mise Cash Total: 249560 OS/29/2012 13:56:57 EDT Credit Card CardNumber: ............6206 781292 00128450 520.00 520.00 1 agree to pay above total amount according to the card issuer ~t. Signature: AlJ ~; /(p cI a.Ju'O NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborougb,ME 04074 877-564-5656 ART! A KADAKIA ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 249560 OS/29/2012 13:56:57 EDT Credit Card CardNumber: ............6206 78143Z 00128449 51.50 51.50 :~;~:pay ~~unt,acc~ ~eIft &. understand this convenience fee will be charged to allow my payment via credit card. . Printed: OS/29/2012 13:57:06 https://trx.npspos.com/payapp/app?component=%24DirectLink.&page=Receipt&service=d... 5/29/2012