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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Justice TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 LAWRENCE A PERCIVAL Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Justice Total: agree to pay above tal amount according to the card ias r e ent. '~i~C~U~-/f.- y/LQ r Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 624462 01/13/2014 12:20:32 EST Credit Cazd CardNumber: ************3232 R5352B 00290619 $50.00 $50.00 LAWRENCE A PERCIVAL Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: 624462 01/13/2014 12:20:32 EST Credit Card CardNumber: ******rss*s*3232 R5350B 00290618 $3.00 $3.00 agree to pay ab a total a~mopunt~acc,,o~rding/to~the card issuer agreement & understand thi convenience fee will be charged to allow my payment via credit cazd. Thank You Printed: 01 / 13 /2014 12:20:40 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /13/2014