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Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa1ls,NY 12590 845-297-4158 ROSSANO DELTRESTE .................................................. Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: REFERENCE NUMBER Misc Cash 1: I agree top vet a/m~ou~nt~a~cco~r~]Jy~''t~Jo the azd is greem~yt~^ Signature: nl~'~(~,~l~o ^~/ ~ ~-( ~'--- MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 ROSSANO DELTRESTE Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 698078 03/18/2014 12:14:43 EDT Credit Cazd CazdNumber: ************2192 018442 00944015 $30.00 $30.00 Transaction Number: 698078 Date Processed: 03/18/2014 12:14:43 EDT Transaction Type: Credit Cazd VISA-Swiped CardNumber: ************2192 Authorization: 018106 Reference Numbec 00944018 Convenience Fee $3.00 To $3.00 1 agree top ~-ov_ a] amount according cazd issuer ag~a~ent & r ~ ~ this convenience fee will be chazged to allow my payment via credit cazd. ~~~ Signature:' \~1 ~~~ ~~~/~ % ~+ Thank You Printed: 03/ 18/2014 12:14:50 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3 / 18/2014