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Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT S1.50 $40.00 $41.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 ROBERT C DELIO .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 198419 12114/2011 14:57:27 EST Credit Card CardNumber: ********...*9354 29034B 00307591 S40.00 $40.00 1 agree to pay above total Signature: NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 ROBERT C DELIO ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 198419 12/14/2011 14:57:27 EST Credit Card CardNumber: ************9354 28992B 00307590 S1.50 $1.50 1 agree to pay ab e~ & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 12/14/2011 14:57:31 https:/ /trx.npspos.com/payapp/app?component=%24 DirectLink&page=Receipt&service=... 12/14/2011