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Credit Card (3)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NllMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $45.00 ................................... S48.00 .............................................................................................. ................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297.4158 JOSEPH 1 KIERNAN . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Permits Total: I agree to pay bove total nount according to the card issuer agreement. Signature: NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 370387 02/15/2013 10:52:31 EST Credit Card CardNwnber. +++++*++++++2583 715778 00819121 $45.00 $45.00 JOSEPH J KIERNAN Transaction Number: .................................................................................................................................................................................................. Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: I agree top above total an unt according to the car issuer agreement c@ understand this convenience Fee will be charged to allow my payment via credit card. Signature: Printed: 02/ 15/2013 10:52:36 370387 02/15/2013 10:52:31 EST Credit Card CardNumber. +*++*+++++*+2583 718259 00819125 $3.00 $3.00