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Credit Card (4)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash T(1TA7: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 URBAN F POLINI REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 553.00 ...................................•-------- 415213 Transaction Nwnber: 04/Z4/2013 12:04:17 EDT Date Processed: Credit Card Transaction Type: CardNwnber: ******"**'""6929 MASTERCARD -Swiped 02484B Authorization: 00611138 Reference Nwnber: $50.00 Misc Cash _ $50.00 Total: I agree to pay a eve tal amount accordi to iss~greement. Signature: ~- t ~ MUN Y+SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 URBAN F POLINI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415213 Transaction Number: 04/24/2013 12:04:17 EDT Date Processed: Credit Card Transaction Type: *******^**** CardNumber: 6929 MASTERCARD -Swiped 02484B Authorization: 00611135 Reference Number: $3.00 Convenience Fee / 53.00 Total: I agree ty Signature: Thank acco d~ to d issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. i 12:04:22 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/24/2013