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Untitled (2) Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM Building Dept NPS Convenience Fee TOTAL: REFERENCE NUMBER 40276 AMOUNT $11.75 $1.50 $13.25 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 FEN JAMIN MASTERCARD - Swiped Auth #: 60087P CardNumber: ............0551 Ref#: 00189898 Timestamp: 09/30/2010 09:47:00 EDT $11.75 $11.75 Building Dept TOTAL NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 FEN JAM1N MASTERCARD - Swiped Auth #: 60142P CardNumber: ...**.......0551 Ref#: 00189899 Timestamp: 09/3012010 09:47:00 EDT $1.50 $1.50 Convenience Fee TOTAL I 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. ---c ~ Sign: -'(/ C Printed: 09/30/2010 13:47:12 https://trx.npspos.comlpayapp/app? component=%24 DirectLink&page= Receipt&service=d... 9/30/201 0