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Credit CardReceipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Bolding Dept $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 DAVID C AHLGREN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: 640628 Date Processed: 01/29/2014 14:50:57 EST Transaction Type: Credit Card MASTERCARD -Swiped CazdNumber: *"* ** * * * * * * *9519 Authorization: 82091P Reference Number: 00121692 Building Dept $50.00 Total: $50.00 I agree [o pay abo to amount acc ding to the cazd issuer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 DAVID C AHLGREN Transaction Number: 640628 Date Processed: 01/29/2014 14:50:57 EST Transaction Type: Credit Cazd MASTERCARD -Swiped CardNumber: ************9519 Authorization: 81868P Reference Number: 00121691 Convenience Fee $3.00 Total: $3.00 -agree to pay above t ount according to the card issuer agreement & understand this convenience Fee will be charged to allow my payment via credit cazd. ~ignature: Thank You Printed: O 1 /29/2014 14:51:04 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /29/2014