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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 JAMESTAPLEY REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOl1NT $3.00 $30.00 $33.00 Transaction Number: 393594 Date Processed: 03/21/2013 14:57:22 EDT Transaction Type: Credit Cazd VISA-Swiped CardNumber: ************4979 Authorization: 01711B Reference Number: 00625799 Misc Cash $30.00 Total: $30.00 I agree o pa above to am t ing to the issuer agreement. Signature: MUNICI "SERVICE FE 400 Technology Way Scazborough,ME 04074 877-564-5656 JAMES TAPLEY Transaction Number: 393594 Date Processed: 03/21/2013 14:57:22 EDT Transaction Type: Credit Card VISA-Swiped CardNumber: ************4979 Authorization: 01716B Reference Number: 00625802 Convenience Fee $3.00 Total: $3.00 I agree to pay a ve tota issuer eem t & understand this convenience fee will be charged to allow my payment via credit card Signature: Printed: 3/ 14:57:32 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/21 /2013