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Credit Card
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT $3.00 NPS Convenience Fee $50.00 Misc Cash $53.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 MARVYN JAMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 411617 Transaction Number: 04/18/2013 12:46:58 EDT Date Processed: Credit Cazd Transaction Type: CazdNumber: * * * * * **** * * *9595 VISA -Swiped 06563C Authorization: 00521948 Reference Number: $50.00 Misc Cash _ $50.00 Total: I agree to pay above total amount according to tH~e s u ageement. ~~ f~~ Signature: -T,~ MUNICIPAY"SERVICE FEE TOWN OF W 400 Technology Way Scazborough,ME 04074 877-564-5656 MARVYN JAMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 411617 Transaction Number: 04/182013 12:46:58 EDT Date Processed: Credit Card Transaction Type: ******.*.*+* CazdNumber: 9595 VISA -Swiped 06572C Authorization: 00521949 Reference Number: $3.00 Convenience Fee $3.00 Total: I ogee to pay above total amount according tot r a¢reement &~e~tan~s c~ n~nience fee will be chazged to allow my payment via credit card. Signature: rt ~ ~ lll~~~ Thank You Printed: 04 / 18/2013 12:47:30 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 18/2013