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Receipt Page 1 of 1 TRANSACTION SUMMARY PAYMENT ITEM Building Dept NPS Convenience Fee TOTAL: TRANSACTION TYPE: SALE REFERENCE NUMBER 30310 AMOUNT 5250.00 56.13 5256.13 TOWN OF WAPPINGER 20 Middlebush Rd ............................................................................................................................................................................................................................................., Wappingers Falls,NY 12590 845-297-4158 FERNANDO GONCAL YES MASTERCARD - Swiped Auth #: 03207Z Building Dept TOTAL CardNwnber: ............7742 Ref#: 00384923 Timestamp: 11/17/2010 1I:38:51 EST 5250.00 5250.00 '-~-~7~ Sign: _, ,~ ~ . NPS MUNICIPAY CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 FERNANDO GONCAL YES MASTERCARD - Swiped Auth #: 03206Z CardNwnber: ............7742 Ref#: 00384924 Timestamp: 1l/17/2010 1I:38:50 EST 56.13 56.13 Convenience Fee TOTAL Sign: . suer agreement & understand this convenience fee will be charged to allow my payment via credit card. Printed: 11/17/2010 1I:39:04 https:lltrx.npspos.comlpayapp/app?component=%24DirectLink&page=Receipt&service=... 11/1712010