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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 CRAIG H DELAMATER REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 Transaction Number: 622702 Date Processed: 01/10/2014 12:01:27 EST Transaction Type: Credit Card VISA-Swiped CardNumber: ************1733 Authorization: 937341 Reference Number: 00574621 Misc Cash $50.00 Total: $50.00 1 agree to pay above to o according to the card issuer agreement. Signature: MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 CRAIG H DELAMATER Transaction Number: 622702 Date Processed: 01/]0/2014 12:01:27 EST Transaction Type: Credit Cazd VISA -Swiped CazdNumber: **********"*1733 Authorization: 937340 Reference Number: 00574620 Convenience Fee $3.00 Total: $3.00 I agree to pay above 1 am t according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: O 1 / 10/2014 12:0 I :37 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 / 10/2014