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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Building Dept TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297.4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.68 $150.00 $153.68 PATRICIO CORTES Transaction Number: 645346 Date Processed: 02/03/2014 09:02:08 EST Transaction Type: Credit Card VISA-Swiped CardNumber. ************1846 Authorization: 06298B Reference Number: 00324870 Building Dept/~~ $150.00 Total: / % $150.00 I agree t4 pay above t amount accor ' card issuer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 PATRICIO CORTES Transaction Number: 645346 Date Processed: 02/03/2014 09:02:08 EST Transaction Type: Credit Card VISA-Swiped CardNumber: ************1846 Authorization: 06298B Reference Number: 00324869 Convenience Fe $3.68 Total: $3.68 I agree tp pay ab e t amount cor ' o the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 02/03/2014 09:02:15 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 2/3/2014