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credir cardReceipt
Page
TRANSACTION SUMMARY TRANSACTION TYPE: SALE
REFERENCE NUMBER AMOUNT
PAYMENT ITEM $7.35
NPS Convenience Fee $300.00
Building Dept $307.35
TOTAL:
..................................................................................................................................................
.
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-0158
TIMOTHY S NILSEN
...........
..................................
....................................
........................................................................................................ 527336
Transaction Ntunber: 09/242013 10:42:54 EDT
Date Processed: Credit Card
Transaction Type: CazdNumber. ***********"9196
VISA -Swiped 024470
Authorization: 00914562
Reference Number.
$300.00
Building Dept $300.00
Total:
I agree t above tots amount according to tb~ d iss r agreement.
Signature: / /T/L"~ .~
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
TIMOTHY S NILSEN
.....................
. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527336
Transaction Number: 09/24 /2013 10:42:54 EDT
Date Processed: Credit Card
Transaction Type: CazdNttmber: ***********"9196
VISA -Swiped 024061
Authorization: 00914561
Reference Number:
$7.35
Convenience Fee $7.35
Total:
'
~.,-~
7
ove to 1 amoprtf according t tJt~cazd suer agreement & understand this convenience fee will be charged to allow my payment via credit cazd.
I
agree
Signature: _YY^_
Thank You
Printed: 09/24/2013 10:43:42
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 9/24/2013