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Credit Card
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $16.00 TOTAL: $19.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 IVAN A MONTIEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: 467090 Date Processed: 07/03/2013 15:15:35 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: ************2642 Authorization: 848855 Reference Number: 00425720 Misc Cash $16.00 Total: $16.00 I agr to pay a e 1 ccord a 'suer Bement. Signature MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 IVAN A MONTIEL Transaction Number: 467090 Date Processed: 07/03/2013 15:15:35 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: ************2642 Authorization: 574285 Reference Number: 00425725 Convenience Fee $3.00 $3.00 Total: above total amougt~according to th~i~issuey~•~tt odergtand this convenience fee will be chazged to allow my payment via credit cazd. Printed: 07/03/2013 15:15:41 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 7/3 /2013