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Credit Card (2)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Recreation
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaI1s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$40.00
$43.00
JEFFREY A POLANCO
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Recreation
Total:
I agree to pay ab a total amot~t according to the card isgueragteeinent
Signature: - `1" ~'~-~---.'"..,........
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
444312
06/03/2013 12:23:58 EDT
Credit Card
CardNumber: ************0560
063093
00890131
$40.00
$40.00
JEFFREY A POLANCO
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
444312
06/03/2013 12:23:58 EDT
Credit Card
CardNumber: ************0560
063094
00890132
Convenience Fee $3.00
Total: $3.00
I agree to pay abov otal amoury~.according to the card issuer~eai-8rmtdeYStand this convenience fee will be charged to allow my payment via credit card.
Signature:
Thank ou
Printed: 06/03/2013 12:24:24
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 6/3/2013