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Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Misc Cash $40.00 NPS Convenience Fee $1.50 $41.50 Total: Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 MELANIE A FRYE MASTERCARD - Swiped CardNumber: ************2778 Card exp, date: **/** Auth #: B54627 Ref#: 00370263 Timestamp:03/05/201O 15:05:50 Misc Cash $40,00 Total $40.00 NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 MELANIE A FRYE MASTERCARD - Swiped CardNumber: ************2778 Card exp, date: **/** Auth #: B50777 Ref#: 00370264 Timestamp:03/05/201O 15:05:50 ~y -- Convenience Fee $1.50 Total $1.50 I agree to pay above total amount according to the caJd1ssuer agreement & understand this convenience fee will be charged to allow my payment vi~ cred~, I. ~te~ ~1 ~ Sign:" ...;;;:. I ,I " (\ ____ --=- ~: ~~: __ t~ }~~~::::~ . Printed: 03/05/2010 15:06:05 '" "'" .........'L__.__............... https:/ /beta2.municipay .com:8443/app?component=%24DirectLink&page=Receipt&service... 3/5/2010