Credit Card (2)ReCe1pt
TRANSACTION SUM~RY
REFERENCE NUMBER
PAyNIENT ITEM
NPS Convenience F ee
Building Dept
TOTAL: ......•••
•TOVt,N•OF W AYPINGER
20 MiddlebushR NY 12590
W apPmg~s Falls,
845-2971158
ERIN ELIZABETH C'p'1"UCCl
Transaction Nwnber'
Date Processed'.
Transaction Type
VISA -Swiped
Authorization:
Reference Number:
;' "~ '1
guildinBDept `` Bement.
e 'ss qr ~
Total:
g oun according to
I agree to Pay v
Signature:
MUNICiYAy"SERVICE FEE TOWN OF WAFPINGER
400 Technoh ~ 04074
Scarboroug ,
64-5656 ...........
877-5 ................
ERIN ELIZABETH Gp'1'UCCI
TRp,NSA~TION TYPE: SALE
AMOUNT
$6.13
$250 00
$256.13 ........~
................... 522205
0911612013 15:C~it Card
CaTaNumber:***-***«****9348
055682
00936200
$250.00
$250.00
..................- 522205
0911612013 15:~m~ Crud
ber:*********r**9348
CardNum 055687
00936202
Transaction Number: $6,13
Date Processed: $6.13
Transaction TYPe
VISA -Swiped
Authorization: ber ent via credit card'
Reference Num ed to allow my Pay1°
Convenience Fee ~ f tmdersta~nd tins convenience fee will be charg
/ meet &
Total: ~ c uer 8T
ount acco m8 to
I agree to pay abo a to ~
Signature:
Thank You
printed: 09116/2013 15:57:06
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