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Credit Card (2)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $40.00 $4 I.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 NICOLE HENNE .............................................................................................................................................................................................................................................. Transaction Numher: Dale Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 322699 11/19/201209:49:11 EST Credit Card CardNwnber: ............2711 07381Z 00582988 $4000 $40.00 Sih'llature: NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarhorough,ME 04074 877-564-5656 NICOLE HENNE .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 322699 11119/2012 09:49: 11 EST Credit Card CardNwnber: ............2711 07381Z 00582989 $1.50 $1.50 I agree to pay above total amount acco II Signature: Printed: ] 1/19/201209:49:20 https:/ /trx.npspos.comlpayapp/app?component=%24 DirectLink&page=Receipt&service=... 11/19/2012