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Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Misc Cash $29.00 NPS Convenience Fee $1.50 Total: $30.50 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297 -4158 MESBAHUDDIN FORKAN MASTERCARD - Swiped CardNumber: ************7860 Card expo date: **/** Auth #: 27172Z Ref#: 00686407 Timestamp:07/20/201O 10:06:27 Misc Cash $29.00 Total $29.00 I agree to pay above total amount according to the card issuer agreement. k/:7 j/ k Sign: ~ ~~-d~: '\~ NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 MESBAHUDDIN FORKAN MASTERCARD - Swiped CardNumber: ************7860 Card expo date: **/** Auth #: 27423Z Ref#: 00686409 Timestamp:07/20/201O 10:06:27 ~* ~y ~"*---- Convenience Fee $1.50 Total $1.50 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. Sign: ~~~ #/l- Printed: 07/20/2010 10:06:32 https:/ /beta2.municipay .com:8443/app?component=%24DirectLink&page=Receipt&servic... 7/2012010