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Page 1 of 1 Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOT AI.: REFERENCE NUMBER AMOUNT $1.50 $50.00 $51.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 NICHOLAS ANDERSON .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash" Total: 191236 11/14/2011 09:33:27 EST Credit Card CardNumber: ............7810 09866Z 00645647 $50.00 $50.00 Signature: I agree to NPS MUNICIPAY CONY F 400 Technology Way Scarborough,ME 04074 877-564-5656 ... ................... .................... ......... .............. ........... ........ .............. .................. ....... ........ ......................... ................ ........ ....... ...................................... ............. NICHOLAS ANDERSON Signature: 191236 ] 1/14/201109:33:27 EST Credit Card CardNumber: .....**.....7810 09873Z 00645649 $1.50 $1.50 Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: agree nt understand this convenience fee will be charged to allow my payment via credit card. Printed: 11/14 https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=... 11/1412011