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credit card Page 1 of 1 Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM Misc Cash NPS Convenience Fee TOTAL: REFERENCE NUMBER AMOUNT $40.00 $1.50 $41.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Midd1ebush Rd Wappingers Falls,NY 12590 845-297-4158 ARAMIS N PESANTE MASTERCARD - Swiped Auth #: 042740 CardNumber: ............1129 Ref#: 00972676 Timestamp: 08/27/2010 15:26:20 EDT $40.00 $40.00 Misc Cash TOTAL 1 agree to p. ay a~oun.t acco. .rding to the card issuer agreem. en!. Sigt'l:""\' ~-7r- -, --------- NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 ARAMIS N PESANTE MASTERCARD - Swiped Auth #: 042740 CardNumber: ............1129 Ref#: 00972675 Timestamp: 08/27/2010 15:26:19 EDT $1.50 $1.50 Convenience Fee TOTAL 1 agree to pay above t~?;g~agreement & understand this convenience fee will be charged to allow my payment via credit card. Sign: X c:::'~-' Printed: 08/27/201019:26:32 https://trx.npspos.com/payapp/app? component=%24 DirectLink&page= Receipt&service=d... 8/2712010