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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ROBERTO PEREZ Transaction Number: 711991 Date Processed: 03/31/2014 12:18:18 EDT Transaction Type: DISCOVER -Swiped Credit Cazd CazdNumber: "* *' • •» "' * • ^ •2263 Authorization: 03166R Reference Number: 00571051 Misc Cash $50 00 Total: ~ ~ . $50.00 gree tc pay Signature: total amount agreement. MUNICI~AY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 ROBERTO PEREZ Transaction Number: Date Processed: Transaction Type: DISCOVER -Swiped Authorization: Reference Number: 711991 03/31/2014 12:18:18 EDT Credit Cazd CazdNumber. 'r w r w w s.+r • •2263 03169R 00571052 Convenience Fee Total: agree to pay abo t tal amount accordin o the iss r agr erstand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 03/31 /2014 12:18:27 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d.. $3.00 $3.00 3/31/2014