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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Miac Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $65.00 $68.00 DAVID A RODRIGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: r I agree to pay a ve tal amount acc g to tltc+sazd i er agreQrnent. Signature c~/~ J~ MUNICIPAY"SERVICE FEE TOWN OF WAPPING 400 Technology Way Scarborough,ME 04074 877-564-5656 754213 05/05/2014 10:54:07 EDT Credit Cazd CardNutnber: ************6788 134837 00808357 $65.00 $65.00 DAVID A RODRIGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 754213 05/05/2014 10:54:07 EDT Credit Card CardNumbet: ************6788 134834 00808356 Convenience Fee $3.00 Total: ~' $3.00 I agree to Ray above ount aecordj ig o the c~ssuer ~r ement & understand tlris convenience fee will be charged to allow my payment via credit card. Signatur[ Thank You ~ ~'" Printed: OS /05/2014 10:54:23 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt& service=dir... 5/5/2014