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Credit Card
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $30.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 DAVESGAMBELLURI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number; 369690 Date Processed: 02/14/2013 13:44:48 EST Transaction Type; Credit Card VISA -Swiped CardNumber. "'""""""""""3080 Authorization: 03269B Reference Number: 00573127 Permits $30.00 Total: ~ $30.00 I agree to o total ount a rding to-tl a card issuer agreement. Signature: NPS MUNICB'AY CONV FEE - TO OF WAPPINGER, NY 400 Technology Way Scarborougb,ME 04074 877-564-5656 DAVESGAMBELLURI Transaction Number: 369690 Date Processed: 02/14{2013 13:44:48 EST Transaction Type: Credit Card VISA -Swiped CardNumber: """'""""""""3080 Authorization: 03269B Reference Number. 00573128 Convenience Fee ~ $3.00 Total: $3.00 I agree to pay above to oun cc rding t e and issuer agreement & understand thi convenience fee will be charged to allow my payment via credit card. Signature: Printed: 02/14/2013 13:44:58 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/14/2013