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credit cards (2)
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 ALLEN J AUSTIN Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.43 $140.00 $143.43 Transaction Number; 549557 Date Processed: 10/22/2013 12:25:22 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: ***"•.""•.•"0019 Authorization: 032512 Reference Number: 00452529 Misc Cash $140.00 Total: $] 40.00 I agree to pay above to I am t~ a card issuer agreement Signature' MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 ALLEN J AUSTIN Transaction Number: 549557 Date Processed: 10/22/2013 12:25:22 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: """*"***"""•0019 Authorization: 032512 Reference Number: 00452531 Convenience Fee $3.43 Total: $3.43 I agree to pay above toy11 ayt~ issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: _/~~ Thank You Printed: 10/22/2013 12:2 5 :30 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/22/2013