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Credit Card
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $30.00 TOTAL: $33.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 DAVID M BISHOP Transaction Number: 404724 Date Processed: 04/08/2013 12:02:11 EDT Transaction Type: Credit Cazd VISA-Swiped CazdNumber: ••••••••••••2380 Authorization: 862807 Reference Number: 00322861 Permits $30.00 Total: $30.00 I agree to pa ab a oun<ac ~ng to a issu agree ent. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPIN ER 400 Technology Way Scazborough,ME 04074 877-564-5656 DAVID M BISHOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404724 Date Processed: 04/08/2013 12:02:11 EDT Transaction Type: Credit Cazd VISA -Swiped CazdNumber: ' • • • • w w • • s • • 2380 Authorization: 862806 Reference Number: 00322859 Convenience Fee $3.00 Total: ,,, ~, ~ $3.00 I agree to pay a vet a~mo~unt ccordi g t card Issue agreem nt & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: / ,t n/( Thank You Printed: 04/08/2013 12:02:20 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/8/2013