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Credit Card (2) Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 $51.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 .............................................................................................................................................................................................................................................. ANTHONY BURKE Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: 205375 01/1112012 11:16:55 EST Credit Card CardNumber: *"...***..**9090 011132 00352133 $50.00 $50.00 to the card issuer agreement. ."- ,. " Signature: NPS MUNICIP A Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 ,'- ,1 I ~:~~~~..~.~~~.....47':;j{......................................................................................................................................................................................... Transaction Number: '''V 205375 Date Processed: 01/11/2012 11:16:55 EST Transaction Type: Credit Card MASTERCARD _ Swiped CardNumber: ............9090 Authorization: 011144 Reference Number: 00352132 Convenience Fee $1.50 Total: $1.50 ssuer agr~ ment & understand this convenience fee will be charged to allow my payment via credit card. / Si gnature: Printed: 01111/2012 11:17:04 https:lltrx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=d... 1 III 120 12