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120337 Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Building Dept 29886 $150.00 NPS Convenience Fee $3.68 Total: $153.68 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 STEVEN L MUNOZ MASTERCARD - Swiped CardNumber: ************0075 Card expo date: **/** Auth #: 01332Z Ref#: 00120338 Timestamp:05/13/2010 08:27:37 Building Dept $150.00 Total $150.00 1 agree to pay above total amount according to the card issuer agreement. Sign: .~ ~/~ ~ NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 STEVEN L MUNOZ MASTERCARD - Swiped CardNumber: ************0075 Card expo date: **/** Auth #: 01358Z Ref#: 00120337 Timestamp:05/13/201O 08:27:37 ~,J.Jy ~ ...............-lioJlIiMIfIW Convenience Fee $3.68 Total $3.68 I agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Sign: /4 //~~ 1. ~__....._..........................._._...I_- Printed: 05/13/2010 08:27:44 https:/ lbeta2.municipay .com:8443/app?component=%24DirectLink&page=Receipt&servic... 5/13/2010