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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 $31.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 RONALD THOMAS ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 319889 11/13/201209:22:36 EST Credit Card CardNwnber: ************7732 013528 00590176 $30.00 $30.00 J agree to pay above tot~1 lUlt according to ,. --- Signature: /. NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 RONALD THOMAS ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee 319889 11/13/201209:22:36 EST Credit Card CardNwnber: ************7732 013528 00590175 $1.50 $1-50 Total: I agree to pay above ;9!W?lUlt~;ez~slfr agreement & lUlderstand this convenience fee will be charged to allow my payment via credit card. Signature / I -( I Lt'P CJZ.{j Printed: 11/13/201209:22:44 https://trx.npspos.com/payapp/app?component=%24 DirectLink&page=Receipt&service=... 11/13/2012