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Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Misc Cash $39.00 NPS Convenience Fee $1.50 Total: $40.50 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 ERIK J ANDREN MASTERCARD - Swiped CardNumber: ************8891 Card expo date: **/** Auth #: 76025B Ref#: 00713084 Timestamp:05/27 /2010 10:41 :02 Misc Cash $39.00 Total $39.00 Sign: card issuer agreement. .......................................4... . _" .... NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 ERIK J ANDREN MASTERCARD - Swiped CardNumber: ************8891 Card expo date: ** 1** Auth #: 75163B Ref#: 00713083 Timestamp:05/27 /2010 10:41 :01 ~* ~ Convenience Fee $1.50 Total $1.50 I agree to pay above total amount according to the card issuer agreement & understand this convenience fee wi\1 be charged to allow my paym nt vi credit c d. Sign: ......._...............................__....... ..... .. '" 41 " '" ~ '" ----..................... Printed: OS/27/2010 10:41 :05 https:/lbeta2.municipay .com:8443/app?component=%24 DirectLink&page=Receipt&servic... 5/27/2010