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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $20.00 $23.00 MARY B KOZLOWSKI Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pay above total amount acc g to e d is r agreem C~ , ~ ~grtature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 752852 05/02/2014 15:42:39 EDT Credit Card CardNumber: rrrrrrrrrrr*9784 052015 00518224 $20.00 $20.00 MARY B KOZLOWSKI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 752852 05/02/2014 15:42:39 EDT Credit Card CardNumber: rrrrrrrrrrrr9784 647387 00518222 Convenience Fee $3.00 To $3.00 I agree to pay above tal amount according the c i suer ogre ent & unde d th~s convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 05/02/2014 15:42:44 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/2/2014