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Credit Card
Page 1 of 1 Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $18.00 Misc Cash $21.00 TOTAL: ....................................................................................................................... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 KRYSTALCATALE ...... .............................................. .. .......................................................................................................................................... 471705 Transaction Number: 07/11/2013 11:16:22 EDT Date Processed: Credit Card Transaction Type: CardNumber: *"'«««s«««««3206 VISA -Swiped 001622 Authorization: 00445605 Reference Number: $18.00 Misc Cash $18.00 ,Al Total: ~ n Il I agree to pay above~t~l amoun cc ng to th~car issuer agreement. Signature: MUNICIPAY"SI#RVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 KRYSTALCATALE ....... ................................................ ........................................................................................................................................ 471705 Transaction Number: 07/112013 11:16:22 EDT Date Processed: Credit Card Transaction Type: CardNumber: «'•«*`«"""«3206 VISA -Swiped 00]622 Authorization: 00445604 Reference Number: $3.00 ~ ~ Convenience Fee / / Total: $3.00 I agree t ~ a e amount ding the card issu greement & understand this convenience fee will be chazged to allow my payment via credit card. Signature: Thank You Printed: 07/11/201 ,11:21:29 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 7/11 /2013