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Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $98.00 $101.00 MICHAELJSHEEHAN Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pey ve tota/~~~utt~ccording t e c i ~eement. Signa ~6'/~G/ MUNICIPAY•SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 563278 11/06/2013 11:53:06 EST Credit Cazd CazdNumber: ************5746 664359 00348158 $98.00 $98.00 MICHAELJSHEEHAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number; Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 563278 11/06/2013 11:53:06 EST Credit Cazd CazdNumber: ************5746 664360 00348161 Convenience Fee $3.00 Total: $3.00 I agree to pay vet amount acc di o e c ssuer em t R understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 11 /06/2013 11:53:17 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 11 /6/2013