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credit card (3)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $65.00 Misc Cash $68.00 TOTAL: .................................................................................................................................... ... TOWN OF WAPPINGER 20 Middlebush Rd WappingersFalls,NY 12590 845-297-4158 SCOTT D CASHIN .............. ....................................... ......................................................................................................................................... 347891 Transaction Number: 01/11/2013 16:00:35 EST Date Processed: Credit Card Transaction Type: CardNumber: * *"* * * * * *"* '4077 MASTERCARD -Swiped 060016 Authorization: 00710021 Reference Number: $65.00 Misc Cash 565.00 TotaL• I agree to pay ov otgl amo accordin t)o the card issuer agreement. .. ~~ ~ l Signa ~, NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 SCOTT D CASHIN ......................................................................... . ...................................................................................................................... 347891 Transaction Number: 01/11/2013 16:00:35 EST Date Processed: Credit Cazd Transaction Type: CardNumber:'**********'4077 MASTERCARD -Swiped 060016 Authorization: 007100]9 Reference Number: $3.00 Convenience Fee $3.00 Total: I agree to pay bove total o ~ a~cc/o~rding to the car suer eagr emen4>gc understand this convenience fee will be charged to allow my payment via credit cazd. Signataz . ~' l7 ~/~ ~ _ ~C. C/~'~ Printed: O 1 / I 1 /2013 16:00:42 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /11 /2013