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Credit Card (3)
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Mist Cash $26.00 TOTAL: $29.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 JORDAN L POORMAN Transaction Number: 35 ] 884 Date Processed: 01/18/2013 15:19:25 EST Transaction Type: Credit Cazd VISA -Swiped CardNumber: ***********«1699 Authorization: 661934 Reference Number: 00282547 Misc Cash $26.00 TotaL• $26.00 ~ I agree to pa above tota}` o t actor i to the card issuer agreement. 'L, l~-rt Sign NPS NICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 JORDAN L POORMAN Transaction Number: 351884 Date Processed: 01/18/2013 15:19:25 EST Transaction Type: Credit Card VISA -Swiped CardNumber: *"*********«1699 Authorization: 660032 Reference N er: 00282549 ~ 00 $3 e Convenience . // Total: ~ /) $3.00 I agree to play above tot~~nounl~ccording ty~the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. 9:33 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /18/2013