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Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Building Dept $240.00 NPS Convenience Fee $5.88 Total: $245.88 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 WENDY A GURSKY MASTERCARD - Swiped CardNumber: ************9048 Card expo date: **/** Auth #: 021821 Ref#: 00699859 Timestamp:05/21/201O 14: 12:58 Building Dept $240.00 Total $240.00 ::" ~;r~m';r;:;ing ID fu, - i~_ _on~t NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 WENDY A GURSKY MASTERCARD - Swiped CardNumber: ************9048 Card expo date: **/** Auth#: 021780 Ref#: 00699858 Timestamp:05/21/20l0 14:12:57 ~ MiiiiiGPAY ~~~ Convenience Fee $5.88 Total $5.88 1 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. W7 ~ Sign: '" _ WIl. ____...................................--A'. - .. ..., Printed: OS/21/2010 14:13:02 https:/ lbeta2.municipay .com:8443/app?component=%24DirectLink&page=Receipt&servic... 5/21/2010