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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 Misc Cash $30.00 TOTAL: $33.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ALBERTO CANO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415026 Date Processed: 04/24/2013 10:10:46 EDT Transaction Type: Credit Cazd VISA-Swiped CardNumber: ************4471 Authorization: 071010 Reference Number: A 00582354 Misc Cash ~ ~ / $30.00 Total: ~ $30.00 I agree to~~y above total amount according to 400 Technology Way Scazborough,ME 04074 877-564-5656 ALBERTO CANO FEE TOWN OF WAPPINGER Transaction Number: 415026 Date Processed: 0424/2013 10:10:46 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: * * * * * * * ** * * *4471 Authorization: 071010 Reference Number: 00582353 Convenience Fee / $3.00 Total: ~•~ ~ $3.00 I agree to ~y above total amount ac \~ e c d issuer agreement QC understand this convenience fee will be charged to allow my payment via credit card. Signature: ~ / Thank Your,/ Printed: 04/24/2013 10:10:52 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/24/2013