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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 Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 ROBERTA F MOORE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pay ab a to ount accordin to the card issuer agreement. Signature MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 437657 05/24/2013 10:30:23 EDT Credit Card CazdNumber: **'""rrrsrrr"6031 012810 00142656 $50.00 $30.00 ROBERTA F MOORE Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 437657 05/24/2013 10:30:23 EDT Credit Card CazdNumber: •rrrrrrrrrr*6031 012810 00142657 Convenience Fee $3.00 Total: $3.00 I agree pay a e total t according o the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd Signatur . Thank Printed: 05/24/2013 10:30:29 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 5/24/2013