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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $16.00 TOTAL: $19.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 SALVADOR MONTES QUITL Transaction Number: 701126 Date Processed: 03/20/2014 14:48:20 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber. * * * * *"* * * * * * 1554 Authorization: 004814 Reference Number: 00554627 Permits $16.00 tal: $16.00 I agree to pay a ' otal amount ac o 'suer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 SALVADOR MONTES QUITL Transaction Number: 701126 Date Processed: 03/20/2014 14:48:20 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: * * * * * * ** * * * * 1554 Authorization: 004814 Reference Number: 00554623 Convenience Fee $3.00 Total: $3.00 'agree to pay ove total a card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: ~ Thank You Printed: 03/20/2 5 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3 /20/2014