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Credit Card (2)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $20.00 TOTAL: $23.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ERNST A BIEN-AIME JR Transaction Number: 685365 Date Processed: 03/06/2014 ] 5:43:29 EST Transaction Type: Credit Card VISA-Swiped CazdNumber: ****+**•****6775 Authorization: 006920 Reference Number: 00675186 Misc Cash $20.00 Total: $20.00 I agree to ay above unt according to the cazd iss r agreement. Signature. MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 ERNST ABIEN-AIME JR Transaction Number: 685365 Date Processed: 03/06/2014 15:43:29 EST Transaction Type: Credit Card VISA-Swiped CazdNumber: ************6775 Authorization: 006135 Reference Number: 00675185 Convenienc $3.00 Total: $3.00 I agree to abo a to amount accor ' r a meat & understand this convenience fee will be chazged to allow my payment via credit cazd. J /~ Signature Thank You Printed: 03/06/2014 15:43:34 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 3/6/2014