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Charge Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Building Dept $50.00 NPS Convenience Fee $1.50 Total: $51.50 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 LYNN FRaNCKOWIAK MASTERCARD - Swiped CardNumber: ************0218 Card expo date: **/** Auth #: 02419B Ref#: 00200601 Timestamp:05/24/2010 13:04:16 Building Dept $50.00 Total $50.00 I '."" to P''.??, to~;n. to tho """ ;,"'" 'gre<m,nt Sign: ..............m""!1... :::::.:_.....mm..................._mm._.... ... NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 LYNN FRaNCKOWIAK MASTERCARD - Swiped CardNumber: ************0218 Card expo date: **/** Auth #: 02409B Ref#: 00200603 Timestamp:05/24/2010 13 :04: 16 ~* ~ -- 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 """00 to :"1r p'ymont ,i, oredit ,,,,,- Sign ~ ~ .....................__ ....,.., "" b ___..........................................._._..N.&......,.,., __...._................. Printed: OS/24/2010 13:04:22 https:/ lbeta2.municipay .com:8443/app?component=%24DirectLink&page=Receipt&servic... 5/24/2010