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Credit Card (5)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Justice TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: VOID AMOUNT $3.00 $50.00 $53.00 LAWRENCE A PERCIVAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Justice Total: I ee to pay abo total amount according to the card ~ er ageement. Signature: ~~~~~~~(•[.~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 LAWRENCE A PERCIVAL 624466 01/13/2014 12:22:52 EST Credit Card CazdNumber: ' *""** * "' •''3232 00291350 $50.00_ $50.00 Transaction Number: 624466 Date Processed: 01/13/2014 12:22:52 EST Transaction Type: Credit Card MASTERCARD -Swiped CazdNumber. "*'"'""""3232 Authorization: Reference Number: 00291348 Convenience Fee $3.00 Total: $3.00 I agree to pay abo~/v~,total am~ounpt according to the cazd i r agreement & understand s convenience fee will be charged to allow my payment via credit card. Signature: _~~~(/~[ GL-/!l'" /`c ~` Thank You Printed: O 1 / 13/2014 12:23:02 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /13/2014