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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 Misc Cash $50.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $53.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FalIs,NY 12590 845-297-4158 NICHOLAS J LAFFIN Transaction Number: 373379 Date Processed: 02/20/2013 11:48:50 EST Transaction Type: Credit Cazd VISA -Swiped CazdNumber. * * * * * * * * * * * * 5189 Authorization: 634078 Reference Number: 00566641 Misc Cash $50.00 Totsl: $50.00 I agree to pay above fM11 amou~it acc the card issuer agreetpent. 'ng to / Signattu / > ~ NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 NICHOLASJLAFFIN Transaction Number: 373379 Date Processed: 02/20/2013 11:48:50 EST Transaction Type: Credit Cazd VISA -Swiped CazdNumber: * * * * * * * * * * * * 5189 Authotization: 634079 Reference Number: 00566642 Convenience Fee $3.00 Total: $3.00 I agree to pay abo~l~ount ac6orto the card issuer agreement~r understand th;s convenience fee will be chazged to allow my payment via credit cazd. Signatur ' Printed: 02/20/2013 11:48:5 8 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/20/2013