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Credit Card (3)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 GLENN SIMPSON ••••••••••~ ...................................................................................................................................................................................................... 442691 Transaction Ntunber: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Permits Total: I agree to pay a ve tota according to the card issuer agreement. Signature MUNICIPAY"BERN CE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 05/312013 14:10:19 EDT Credit Cazd CazdNumbet: ***********"2079 181509 00592777 $50.00 $50.00 GLENN SIMPSON ......................... 442691 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 05/312013 14:10:19 EDT Credit Card CazdNumber: ************2079 111508 00592780 Convenience Fee; Total: I agree pa above to unt according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card Signature' Thank You / 1 Printed: 05/31/2013 ]4:10:24 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 5/31 /2013