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Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference ID Amount Building Dept 5410654056213314 $150.00 NPS Convenience Fee $3.68 Total: $153.68 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 ANGEL AVILA MASTERCARD - Swiped CardNumber: ************3314 Card expo date: **/** Auth #: 712348 Ref#: 00683314 Timestamp:08/l 0/2010 13:00:32 Building Dept $150.00 Total $150.00 I agree to pay above total amount according to the card issuer agreement. :f/J ~ Sign: ----....--------..--------...--------..--------......------.....-------......------..-------.....------......-----......-----....----......----...-------.....----...-----.....-------...-----.....------.. .-------......-------.--------....--------....--------.....-------...-------.....-----......------.....-----.....---.-......----......---.......----...----......----....-----.....------...------.....---- NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 ANGEL A VILA MASTERCARD - Swiped CardNumber: ************3314 Card expo date: **/** Auth #: 715688 Ref #: 00683317 Timestamp:08/l0/201O 13:00:33 ~y --- Convenience Fee $3.68 Total $3.68 1 agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be OhMg'" 10 ']IOnpalJ~t ';'/l'Md ./ Sign: ~ ~ -..--------.....------....------......-------....------......---------...---.-.....------.....--.--.....------....--.----......----....----.....-----....----.....------...------....----.--...-------..... -----.....--.----......-----...------......-------.....------.......------...----.--....------........---......-----....------....------....-----.....----.......--.....--.--...----.......--.----..----.-- Printed: 08/10/2010 13:00:38 https:/ lbeta2.municipay.com: 8443/app?component=%24DirectLink&page= Receipt&servic... 8/1 0/2010