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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 Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $65.00 $68.00 TIMOTHY WOODS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash Total: I agree top above to 'ng to the car~d'is~sue~r{agreeme/nt. Signature v '~ V MUNIC Y"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 TIMOTHY WOODS 403572 04/05/2013 13: ] 7:48 EDT Credit Card CazdNumber: s"•«""s*""•"6057 944497 00549338 $65.00 $65.00 Transaction Number: 403572 Date Processed: 04/05/2013 13:17:48 EDT Transaction Type: Credit Card MASTERCARD -Swiped CardNumber """*""""""'6057 Authorization: 975273 Reference Number: 00549337 Convenience Fee $3.00 Total: $3.00 I agree tQ pay ~ve tata4arwyQnteeeordf>I~ie card issuer agreement & understaJr d this convenience fee will be charged to allow my payment via credit cazd. Signature: \ Thank You Printed: 04 13 13:18:10 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/5/2013