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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 KAREN SLISHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Permits Total: I agree to pay bove total amount according to the card issuer a~eement. Signature: MUNI "SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 435993 05/22/2013 10:45:17 EDT Credit Card CazdNumber; ************5694 096262 00550427 $50.00 $50.00 KAREN SLISHER Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 435993 05/22/2013 10:45:17 EDT Credit Cazd CazdNumber:************5694 095902 00550420 Convenience Fee $3.00 Total $3.00 I agree to pay a ove total amount according to th~c~rd issuer ent understand this convenience fee will be chazged to allow my payment via credit card. Signature: (/,/t) Thank Y Printed: 05/22/2013 10:4 5:24 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 5/22/2013