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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Zoning TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $9.80 $400.00 $409.80 RUBEN A VELE . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Zoning Total: I agree to pa above total cc ing t the c i ment Signature: ___ MUNICIPAY"SERVICE FEE 400 Technology Way Scazborough,ME 04074 877-564-5656 RUBEN A VELE 392693 03/20/2013 12:35:13 EDT Credit Card CardNumber: ***"*"******2566 039342 00305477 $400.00 $400.00 Transaction Number: 392693 Date Processed: 0380/2013 12:35:13 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber. ************2566 Authorization: 103897 Reference Number: 00305476 Convenience Fe $9.80 Total: $9.80 I agree top ount i the card issuer agreement & understand this convenience fee wIll be charged to allow my payment via credit card. Signature G Printed i03l2"0/2013 12:3 5:22 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/20/2013