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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,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 to pa above toll ' tg to the card~•issue~r/agreeme~nt. Signature• G t/ V MUNIC Y"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 403572 04/05/2013 13: ] 7:48 EDT Credit Card CazdNumber: ***********"6057 944497 00549338 $65.00 $65.00 TIMOTHY WOODS Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 403572 04/05/2013 13:17:48 EDT Credit Card CazdNumber: ***********"6057 975273 00549337 Convenience Fee $3.00 Total: $3.00 I agree t~pay ~ve tag f~"Tie cazd issuer agreement & understa3d 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