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Credit Card
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT $3.00 NPS Convenience Fee $50.00 Permits $53.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 TRACY A FIELDS ....................... .................................. .................................................................................................................. ..... 442317 Transaction Number: 05/31/2013 11:50:40 EDT Date Processed: Credit Card Transaction Type: CardNumber: *** * **** ****4195 MASTERCARD -Swiped 881417 Authorization: 00523556 Reference Number: $50.00 Permits $50.00 Total: I agree to pay above total mt according to the c r agreement. Signatwe MUN SERV E FEE TOWN OF APPINGER 400 Technology Scarboroug , 04074 877-564-5656 TRACY A FIELDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 442317 Transaction Number: 05/31/2013 11:50:40 EDT Date Processed: Credit Card Transaction Type: ************ CardNumber: 4195 MASTERCARD -Swiped 881416 Authorization: 00523553 Reference Number: $3.00 Convenience Fee $3.00 Total: pay above fatal amoyht according to the d issuer agr~ement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 05/31/2013 1 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=d... 5/31 /2013