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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $20.00 ............................................................................................................................................................................................ $23.00 .............................................. TOWN OF WAPPWGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: 441163 05/30/2013 12:34:46 EDT Transaction Type: VISA -Swiped Credit Card CazdNumber: sssa*srs*a**1798 Authorization: 133021 Reference Number: Misc Cash 00727408 Total: $20.00 $20.00 I agree to pay ab ve amount accor ' to d i uer afire e Signature: MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 .......................... Transaction Number Date Processed: 441163 Transaction Type: 05/30/2013 12:34:46 EDT VISA -Swiped Credit Card Authorization: CazdNumber: ********asss1798 Reference Number: 11362] Convenience Fee ~ 00727405 Total: / $3.00 ^ $3.00 I agree top above t amount according toykâ˘v l sy agr~ ent & un rstand this convenience fee will be charged to allow my payment via credit card Signa 1 You Prime 5/30/2013 12:34:53 https://trx.npspo s. com/payapp/app?component=%24DirectLink&page=Receipt service=d... 5/30/2013