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Credit Card (4)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Building Dept TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd WappingersFalls,NY 12590 845-297-4158 TERESA GARCIA REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $32.00 $35.00 Transaction Number: 466974 Date Processed: 07/03/2013 14:19:15 EDT Transaction Type: Credit Cazd MASTERCARD -Swiped CazdNumber: ************2398 Authorization: 00392B Reference Number: 00397953 Building Dept $32.00 Total: $32.00 I agree to pay ab a tal t ccording to the c suer agreement. Signatwe: MUNIC Y*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 TERESA GARCIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . Transaction Number: 466974 Date Processed: 07/03/2013 14:19:15 EDT Transaction Type: Credit Cazd MASTERCARD -Swiped CazdNumber: ****"'"***"*2398 Authorization: 00391B Reference Number: 00397951 Convenience Fee $3.00 Total: $3.00 I agree to pay abov tal unt according to the card i r agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank Yo Printed: 07 13 14:20:19 • /~~ ' 1~/J\ 21 I I7 fff https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 7/3/2013