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Charge Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Misc Cash $12.50 NPS Convenience Fee $1.50 Total: $14.00 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297 -4158 UBALDO B BARRAGAN MASTERCARD - Swiped CardNumber: ************0206 Card expo date: **/** Auth #: 019989 Ref#:00259828 Timestamp:05/19/201O 11:52:55 Misc Cash $12.50 Total $12.50 I agree to pay above total amount according to the card issuer agreement. Si~ ~.~ '" ......-............................................, NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 UBALDO B BARRAGAN MASTERCARD - Swiped CardNumber: ************0206 Card expo date: **/** Auth#: 019297 Ref#: 00259824 Timestamp:05/19/2010 11:52:55 .-:.;tr ~ Convenience Fee $1.50 Total $PO 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. :~-~~--------- Printed: 05/19/2010 11 :53:00 https:/ /beta2.municipay .com:8443/app?component=%24DirectLink&page=Receipt&servic... 5/19/2010