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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 $30.00 $33.00 BARTHOLOMEW ANASTASI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash .'.. Total: ]agree to pay ab total ount according to the card issuer agre Signa MUNIC SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 420687 05/01/201309:27:01 EDT Credit Card CazdNumber:************4978 852420 00494314 $30.00 $30.00 BARTHOLOMEW ANASTASI TransaMion Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 420687 05/01/2013 09:27:01 EDT Credit Card CazdNumber:************4978 060063 00494316 Convenience Fee $3.00 Total: $3.00 I agree to pay ove tontal/amount according to the card issuer agreement ~a-~•~••a •4ic.coavEnienCe fee will be charged to allow my payment via credit cazd. Signa //~~~~ Thank Printed: 05/01/2013 09:27:06 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/1 /2013