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Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 VALERIE D ADAMO Transaction Number: 699864 Date Processed: 03/19/2014 14:48:16 EDT Transaction Type: Credit Card VISA-Swiped CardNumber: ***+"+***++*2258 Authorization: 034735 Reference Number: 00270322 Misc Cash $50.00 Total: $50.00 agree to pay v~.~tal amo co r to th and issuer agreement. ~ f / ~ ignature: 0~ r~ MUNICIPAY+SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 VALERIE D ADAMO Transaction Number: 699864 Date Processed: 03/192014 14:48:16 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: ++*+**+*++*+2258 Authorization: 034736 Reference Number: 00270320 Convenience Fee $3.00 Total: $3.00 7 agree to pay abov amount ac ording to th card i 'era Bement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You ' Printed: 03 / 19/2014 14:4 8:27 https ://trx.npspos. com/payapp/app?component=%24D irectLink&page=Receipt& service=d... 3 / 19/2014