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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 PATRICIA E LALOR Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Tatal: I agree pay ove to unt according to the card issue gree e •~. Signature: MUNICB?AY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 445593 06/04/20]3 14:16:10 EDT Credit Cazd CazdNumber: ************8440 015309 00207116 $30.00 $30.00 PATRICIA E LALOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 445593 06/04/2013 14:16:10 EDT Credit Card CazdNumber: ************8440 015302 00207115 Convenience Fee $3.00 Total: $3.00 I agree t ay ove total amount co n t the card issuer agreement & unders d 's venience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 06/04/2013 14:16:14 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 6/4/2013