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Credit Card (3)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 ANGELO D FABRIZIO SR Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pa o total amount accord the card issuer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 ANGELO D FABRIZIO SR 640748 01/29/2014 15:54:37 EST Credit Card CazdNumber: *"******"**"3528 024175 00140809 $50.00 $50.00 Transaction Number: 640748 Date Processed: 01/29/2014 15:54:37 EST Transaction Type: Credit Card VISA -Swiped CazdNumber. *****"******3528 Authorization: 026107 Reference Nmnber: 00140811 Convenience Fee $3.00 Total: $3.00 I agree to pay ab of amount according to the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd. /~ Signature: ~' .~ l Thank You Printed: 01/29/2014 15:5 5:06 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /29/2014