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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pay aheySlnud-enn~~g~~in¢ 'Qlj~, issuer agreement. -_~"[Y~----- Signature: MUNICIPAY+SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $10.00 $13.00 503649 08/22/2013 11:52:51 EDT Credit Card CardNumber: ++**++**+++*5317 07596B 00113359 $10.00 $10.00 503649 08/22/2013 11:52:51 EDT Credit Card CardNumber: ***"********5317 07597B 00113358 Convenience Fee $3.00 TotsL• $3,00 I agree top ~ iri o the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: --- -_~ Thank You Printed: 08/22/2013 11:53:13 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=d... 8/22/2013