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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 STEPHEN O ALBEA Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Page 1 of 1 TRANSACTION TYPE: SALE REFERENCE NUMBER Permits Total: I agree to pay ab total o r ' the c issuer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 STEPHEN O ALBEA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: AMOUNT $3.00 $65.00 $68.00 463109 06/28/2013 ]3:04:53 EDT Credit Card CardNumber: ************3222 273081 00949092 $65.00 $65.00 463109 06/28/2013 13:04:53 EDT Credit Card CardNumber: ************3222 273085 00949096 Convenience Fee Total: / ] agreetLpay/ g4db a jeTBh}tno accor ' g o th c issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signatur~~'~_]_ ~J_ L Thank You /\/~ ~L Printed: 06/28/2013 13:05:11 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 6/28/2013