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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 Mist Cash $58.00 TOTAL: $61.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa]1s,NY 12590 845-297-4158 JOSEPH ZHELKOVER Transaction Number: 435375 Date Processed: 05/21/2013 12:55:18 EDT Transaction Type: Credit Cazd VISA -Swiped CardNumber: ****»*******6977 Authorization: 831334 Reference Number: 00323461 Mist Cash Total: / $58.00 $58.00 I agree to pay abo~otal amount accordiy~to the5afd issuer agreement. 400 Technology Way Scazborough,ME 04074 877-564-5656 JOSEPH ZHELKOVER WAPPINGER Transaction Number: 435375 Date Processed: 05/21/2013 12:55:18 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber: ************6977 Authorization: 831336 Reference Number: 00323462 Convenience Fee / $3.00 Total: / $3.00 I agree to ay above t amount actor ' to cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: 12:5 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 5/21 /2013