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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 $1.50 $6.00 $7.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 NASHL Y M HOOTEN .............................................................................................................................................................................................................................................' Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Misc Cash Total: 217168 02/21/201210:21:42 EST Credit Card CardNumber: ************9507 021358 00458364 $6.00 $6.00 I agree to paV'bQve total amo~!.~"g ~ the car Signature: /#.a~ ~ /'/ uer agreement. NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 T ecbnology Way Scarborough,ME 04074 877-564-5656 NASHL Y M HOOTEN ............................................................................................................................................................................................................................................., Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 217168 02/21/201210:21:42 EST Credit Card CardNumber: ************9507 021729 00458365 $1.50 $1.50 & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 02/21/201210:21:46 https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page=Receipt&service=d... 2/21/2012