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Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount $40.00 Mise Cash NPS Convenience Fee $1.50 $41.50 Total: Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 JEREMY LEE SPECK MASTERCARD - Swiped CardNumber: ************5514 Card expo date: **/** Auth #: 004772 Ref#: 00136143 Timestamp:03/04/2010 11 :49:08 Misc Cash $40.00 Total $40.00 I agre< to pay ~:":~__::~l.ao=diOg :,:::~ro ';" a7 . / '.' /'7 . ,// , / ,( Sign: <.,../. _' c: l.. 'i!-- / . /..." .:.:~7-rr /' ,.' {...- ,/ / ( / / ..............._m om . V-..m............................. om . -,... --.................. NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 JEREMY LEE SPECK MASTERCARD - Swiped CardNumber: ************5514 Card expo date: **/** Auth #: 004242 Ref#: 00136142 Timestamp:03/04/201O 11 :49:08 ~~* MliriCiPAY ~..... Convenience Fee $1.50 Total $1.50 I agree to pay above total amount according to the card issuer agreement understand this convenience fee will be charged to allow my paymS!lty' credit card. Sign: .. 'I .... v---___.............. Printed: 03/04/2010 11:49:16 https://beta2.municipay .com:8443/app?component=%24 DirectLink&page=Receipt&service... 3/4/2010