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Credit Card
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 NEVILLE P DRENNEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Permits Total: I agree to 400 card issuer agreement. Y"SERVICE FEE TOWN OF WAPPINGER ~gy Way ME 04074 432988 05/17/2013 10:25:37 EDT Credit Card CardNumber: rr****rtrr-r2555 378552 00176279 $50.00 $50.00 NEVILLE P DRENNEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 432988 05/17/2013 10:25:37 EDT Credit Card CardNumber: rrrrrrrrrrrr2555 378551 00176280 Convenience Fee $3.00 Total: ''' $3.00 I agree ~ ve tp cor 'ng to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signa Thank You Printed: OS/ 1712013 10:25:42 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 5/17/2013