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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM REFERENCE NUMBER NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 MICHAEL F ARVIZU Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pay ab v~~iount ordi the car ~ J Bement. Signature: NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 MICHAEL F ARVIZU Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 351663 01/18/2013 12:51:08 EST Credit Card CazdNumber: ************7030 323310 00221286 $50.00 $50.00 Transaction Number: 351663 Date Processed: 01/18/2013 ]2:51:08 EST Transaction Type: Credit Card VISA-Swiped CazdNumber: ************7030 Authorization: 278812 Reference Number: / ~ 00221287 Convenience Fee ~ / ~ J $3.00 Total: I agree ay abo n~ ~ ~ /~ ~ ' , f total ount acc ng to~~~ ~ agr ment & understand this convenience fee will be charged to allow my payment via credit card. ='." . $3.00 Signature: `- Printed: 017tE72013 12:51:18 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt& service=d... 1 / 18/2013