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Credit Card (2)Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $50.00 Misc Cash $53.00 TOTAL: .................................~ .............................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ANDREW LECHOCINSKI ........................................................................................................................................................................ ........................ 714048 Transaction Number: 04/01/2014 13:05:00 EDT Date Processed: Credit Cazd Transaction Type: CazdNumber: ****"*******0543 VISA -Swiped 05035C Authorization: 00862216 Reference Number: $50.00 Misc Cash $50.00 Total: I agree to pay a t tal aznoun cordin o the card issuer agreement. Signature: ~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 ANDREW LECHOCINSKI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 714048 Transaction Number: 04/01/2014 13:05:00 EDT Date Processed: Credit Card Transaction Type: CazdNumber: * * * * *""* * * *"0543 VISA -Swiped 05031C Authorization: 00862215 Reference Number: $3.00 Convenience Fee $3.00 Total: I agree to pay abo tal oust acc ng to cazd issuer agreement & understand this convenience fee will be chazged to allow my payment via credit card. Signature: 'thank You Printed: 04/01 /2014 13:0 5:07 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/ 1 /2014