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Credit Card
Page 1 of 1 Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 551.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls.NY 12590 845-297-4158 .............................................................................................................................................................................................................................................. VICTOR FRED Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: 261182 06/26/2012 11 :58:29 EDT Credit Card CardNumber: ............9293 096850 00360095 $50.00 550.00 NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 VICTOR FRED ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: ~~O:I~enceFee./ I agree t ay above to Si : Printed: 06/26/2012 11:58:42 261182 06/26/2012 11:58:29 EDT Credit Card CardNumber: ............9293 096889 00360093 $1.50 51.50 card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. . ^ ~ I"'l .......,.! ___ _..LT ~~1_ O__.................-D ~_.a;......+RTC'Dl~T1{"1P=tl h/?hno 12