Credit CardReceipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Mist Cash $30.00 TOTAL: $33.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 JOSEPH A DELENO Transaction Number: 568904 Date Processed: 11/13/2013 10:34:39 EST Transaction Type: MASTERCARD-Swiped Credit Cazd CazdNumber: *"****""****2035 Authorization: 013375 Reference Number ~'`~ 00148604 Misc Cash ~' / ~ J Total: $30.00 / / ~ $30.00 I agree to pay 'bove tal amo t~or in a Issuer agreement. ~~. Signature: 400 Tech~Iology Way Scazborough,ME 04074 877-564-5656 FEE TOWN OF WAPPINGER JOSEPH A DELENO . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. 568904 Date Processed: 11/13/2013 10:34:39 EST Transaction Type: MASTERCARD - Swiped Credit Card CazdNumber: * * * * * * * * * * * *2035 Authoti: 013242 Referent Conveni 00148607 Total: $3.00 $3.00 I agree tc Signature Thank Y Printed: :e will be chazged to allow my payment via credit cazd. https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 11 /13/2013