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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Building Dept TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-0158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.68 $150.00 $153.68 BONNIE RHODES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number. Building Dept Total: I a~e ~ pip aJ~ amo` " " -rdi the card i seement. $1 fi~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 412396 04/19/2013 12:32:35 EDT Credit Card CardNumber: ************6440 038592 00313257 $150.00 $150.00 BONNIE RHODES Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Toml: 412396 04/19/2013 12:32:35 EDT Credit Card CardNumbec ************6440 038582 00313258 $3.68 $3.68 I agree top above total amount ac o~~rd~~in~g,,t,~o the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signatu~irr ~-a A~ Thank Yoa Printed: 04/ 19/2013 12:32:43 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/19/2013