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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ROBERT PHILLIPS Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 Transaction Number: 343733 Date Processed: 01/04/2013 14:28:46 EST Transaction Type: Credit Cazd MASTERCARD-Swiped CazdNumber. ************]057 Authorization: 606656 Reference Number: 00578614 Permits $30.00 Total: $30.00 I agree to pay above tot ount accor/din~ to~the c~azd~issuer agreement. Signature: ~ / /`~yL~/~~ NPS MUNICIPAY CONV FEE - TOWN OF WAPP[NGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 ROBERT PHILLIPS Transaction Number: 343733 Date Processed: 01/04/2013 14:28:46 EST Transaction Type: Credit Cazd MASTERCARD -Swiped CazdNumber: * * * * * * * * * * * * 1057 Authorization: 606653 Reference Number: 00578612 Convenience Fee $3.00 Total: $3.00 I agree to pay above t amo ccord' a cazd iss r agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: 'l Printed: 01/04/2013 14:28:57 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /4/2013