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Credit Card (3)
Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $16.00 Misr Cash $19.00 TOTAL: ............................................................................................................................... .. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 IVAN A MONTIEL ................ .................................. ....................................................................................................................................... 467090 Transaction Number: 07/032013 15:15:35 EDT Date Processed: Credit Card Transaction Type: CardNumber: * * * * * * * * * * *"2642 VISA -Swiped 848855 Authorization: 00425720 Reference Number: $16.00 Misr Cash ~ $16.00 Total: I agree to pay ove total t ac the cazd issuer agreement. Signature: MUNI AY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 IVAN A MONTIEL ........................................... .. ..................................................................................................................................... ........... 467090 Transaction Number: 07/03/2013 15:15:35 EDT Date Processed: Credit Card Transaction Type: *.* * ** * * *** * CardNumber: 2642 VISA -Swiped 574285 Authorization: 00425725 Reference Number: $3.00 Convenience Fee ~~`~ 53.00 , Total: ~ /J ~"~ I agree to pay ~atr~6unt according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Thank Y[oy/ Printed: 07/03/2013 15:31:09 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 7/3/2013