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Credit Card (2)
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $16.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-0158 MARCELO PATINO Transaction Number: 426370 Date Processed: 05/08/2013 13:03:54 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: ************6478 Authorization: 924084 Reference Number: 00582881 Misc Cash $16.00 Total: $16.00 I agree to pay ab a total o t accor ' to the card issuer agreement. Signature MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 MARCELO PATINO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 426370 Date Processed: 05/082013 13:03:54 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: ***"********6478 Authorization: 672949 Reference Number: 00582880 Convenience Fee $3.00 Total: $3.00 I agree to y ve tote am unt accordi the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd. Signatur . ~ ~~- Thank You Printed: 05/08/2013 13:04:36 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/8/2013