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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash Misc Cash TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $16.00 ................................................................................ $69.00 ................................................. .............................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 JUAN HERNANDEZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Casb Misc Ca To agree to pay ab ve total am ,A/ccAAOrding to th d issuer agreement. Signature: ~~~~~ vU `N MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 JUAN HERNANDEZ 671022 02/24/2014 12:04:00 EST Credit Cazd CazdNumber. ***"********9088 070312 00862082 $50.00 $16.00 $66.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: 671022 Date Processed: 02/24/2014 12:04:00 EST Transaction Type: Credit Card VISA-Swiped •*rr******** CazdNumber. 9088 Authorization: 070312 ference Number: 00862081 Convenience Fee $3.00 Total: $3.00 I agree to pay above total amo t /~ rding to cazd issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd. Signature: G~~ Thank You ~ Printed: 02/24/2014 12:04:10 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/24/2014