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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINCER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 LAKSHMIPMUNNANGI REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $1.50 $50.00 $51.50 . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340506 Transaction Number: 12/31/2012 10:04:10 EST Date Processed: Credit Card Transaction Type: ************ CazdNumber: 0357 MASTERCARD -Swiped 070321 Authorization: 00157393 Reference Number: $50.00 Misc Cash $50.00 Total: I agr top above total amount according to the card issuer agreement. t `~"- Signatur : ` NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 LAKSHMI P MUNNANGI Transaction Ntunber: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number. Convenience Fee Total: 340506 12/31/2012 10:04:10 EST Credit Card CazdNumber: ************0357 070315 00157392 $1.50 $1.50 I agree to pay ove total amount according to the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit card. ~, t Signature Printed: 12/31 /2012 10:04:18 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 12/31 /2012