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credit card (3)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $15.00 $18.00 JOHN CLARK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash - Totel: ] agree to pay above t o [ ccor ' g t e and issu Bement. Signature: MUNICIPA "SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 518391 09/11/2013 ]0:49:26 EDT Credit Card CardNumber: ssssssssssss2085 064910 00457542 $15.00 $15.00 JOAN CLARK Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: I agree to pay above to nun ordi c rssuer e e understen s convenience fee will be charged to allow my payment via credit card. e Signature: Thank You Printed: 09/ 11 /2013 10:49:35 518391 09/11/2013 10:49:26 EDT Credit Card CardNumber:w'*s'*ssssss2085 074910 00457543 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 9/11 /2013