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credit cardsReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4]58 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $89.00 $92.00 MICHAELFATIGATE 552214 Transaction Number: 10/25/2013 12:09:44 EDT Date Processed: Credit Cazd Transaction Type: CazdNumber: **"*********0872 VISA -Swiped Authorization: 170496 00250244 Reference Number: $89.00 Misc Cash $89.00 Totsl: I agree to ay ab v total amount according to a cazd issuer agreement. Signature: MU CI "SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 MICHAEL FATIGATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 552214 Transaction Nmnber: 10/25/2013 12:09:44 EDT Date Processed: Credit Cazd Transaction Type: VISA -Swiped CazdNumber. ************0872 Authorization: 170690 00250246 Reference Number: • $3.00 Convenience Fee $3.00 Total: .- '~_ ve total amount accordin I a card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. agree pay Signa ~ You Printed: 10/25/2013 12:09:51 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/25/2013