Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Bui]ding Dept TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 $51.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 MiddJebush Rd Wappingers Falls,NY 12590 845-297-4] 58 ARTHUR MULHALL ...................................................................................................................................................................................................................... Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Bui]ding Dept Total: ] 88892 11/02/2011 ]2:03:16 EDT Credit Card CardNumber: ***..*******5529 095332 00957654 Check Signature: $50.00 $50,00 NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 Techno]ogy Way Scarborough, ME 04074 877-564-5656 ARTHUR MULHALL ......................................................................................................................................................................................................................... Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 188892 11/02/201112:03:16 EDT Credit Card CardNumber: ************5529 095342 00957653 Check 1 agree to pay a $1.50 $1,50 's convenience fee will be charged to allow my payment via credit card. Signature: Printed: 11102/2011 12:03:20 https:lltrx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 11/2/2011 Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 $51.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 JENNIFER D FARINA ...................................................................................................................................................................................................................... Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Misc Cash Total: 188875 11102/20 II II :41 :30 EDT Credit Card CardNumber: ....********2945 29958P 00951848 Check $5000 $50.00 Signature: . ve total amount according to the card issuer agreement. V1. ~ NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 JENNIFER D FARINA ......................................................................................................................................................................................................................... Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Convenience Fee Total: 188875 11102/2011 11:41:30 EDT Credit Card CardNumber: ************2945 29805P 00951847 Check $1.50 $1.50 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. 9. ,~J." ~ Signature: _ ~......... Printed: 11102/20 II 11 :41 :33 https://trx.npspos.comlpayapp/app ?component=%24 DirectLink.&page= Receipt&service=d... 11/2/2011