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Credit card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FalIs,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 JERE L POPOW . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to ay ove total amount according to ar issuer agreement. Signature MUNICIPAY"SERVICE FEE 400 Technology Way Scazborough,ME 04074 877-564-5656 7ERE L POPOW 389763 03/15/2013 11:27:47 EDT Credit Card CazdNumber:****'*******9226 536795 00505817 $50.00 $50.00 Transaction Number: 389763 Date Processed: 03/15/2013 11:27:47 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: * * * * * * * * * * * *9226 Authorization: 536794 Reference Number: 00505816 Convenience Fee $3.00 Total: $3.00 I agree to pay ove tot 1 amountlac/cording to "~ c issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signatur 'v ~~ Printed-03/15/2013 11:28:04 https: //trx. npspo s. com/payapp/app?component=%24DirectLink&page=Receipt& service=d... 3 / 15 /2013