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Credit Card 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 CHERYL HARMELlNG .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: 209431 01127/201215:57:07 EST Credit Card CardNumber: ..**********6777 027130 00791493 $50.00 $50.00 Signature: NPS MUNICIPA Y CONV FEE - TOWN OF W A 400 Technology Way Scarborough,ME 04074 877-564-5656 CHERYL HARMELlNG .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 209431 01127/201215:57:07 EST Credit Card CardNumber: ************6777 027827 00791494 $1.50 $1.50 Signature: ~ issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Printed: 01127/2012 15:57: 10 https:lltrx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=d... 1/27/2012