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Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.59 $65.00 $66.59 ..........................................................................................11.............................................................11................................................................................... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 MARIANNE TURNER .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Number: Misc Cash Total: 216288 02/17/201209:36:53 EST Credit Card CardNumber: ............5522 01726B 00517418 $65.00 $65,00 1 agree to pay above total amount according to the card issuer agreement. Signatur~: ~ r~ NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 MARIANNE TURNER ............................................................................................................................................................................................................................................11 Transaction Number: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Number: Convenience Fee Total: 216288 02/17/201209:36:53 EST Credit Card CardNumber: ............5522 01757B 00517417 $1.59 $1.59 Signature: 1 agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. ~ ---r- <-.sz---------- Printed: 02/17/2012 09:36:57 https:lltrx.npspos.comlpayapp/app?component=%24 DirectLink&page=Receipt&service=d... 2/1 712012