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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACT/ON TYPE: SALE PA YMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $45.00 $46.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 RAFAEL HERNANDEZ .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: -" 1 agree to 194356 11/29/2011 10:13:42 EST Credit Card CardNumber: ...**..***.*4039 956821 00770979 $45.00 $45.00 Signature: NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 T echoology Way Scarborough.ME 04074 877-564-5656 RAFAEL HERNANDEZ ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 194356 1l/29/20 II 10: 13:42 EST Credit Card CardNumber: ............4039 956818 00770978 $1.50 $1.50 1 agree to onvenience fee will be charged to allow my payment via credit card. Signature: https:/ Itrx.npspos.com/payapp/app?component=%24 DirectLink&page=Receipt&service=... 11129/2011