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Credit Card (5)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT Sl.SO S50.00 S51.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FalIs,NY 12590 845-297-4158 .............................................................................................................................................................................................................................................. AL VERA mOMAS-BLOUNT Signature: J 249405 OS/29/2012 11:32:39 EDT Credit Card CardNmnber: ............1027 003111 00578383 550.00 550.00 Transaction Nmnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nmnber: Mise Cash Toea1: I agree to pay ahov NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 Teebnology Way Scarborough,ME 04074 877-564-5656 ALVERA mOMAS-BLOUNT ................................................................................................................................................-.......................................................................................... I agree to pay above to Signature: 249405 OS/29/2012 11:32:39 EDT Credit Card CardNmnber: ............1027 003111 00578384 S1.50 51.50 Transaction Nmnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nmnber: Convenience Fee Toeal: d . convonience fee will be charged to allow my payment via credit card. Printed: OS/29/2012 11:32:48 https:/ /trx.npspos.comlpayapp/app?component=%24DirectLink&page=Receipt&service=d... 5/29/2012