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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 ALAN RICHARDSON .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Number: Mise Cash Total: Signature: amount according t ~ 219911 02/29/201210:12:18 EST Credit Card CardNwnber: ************ 1853 02994R 00309852 $50.00 $50.00 NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 ALAN RICHARDSON .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: DISCOVER - Swiped Authorization: Reference Number: Convenience Fee 219911 02/29/2012 10:12: 18 EST Credit Card CardNumber: ************1853 02946R 00309851 $1.50 $1,50 Total: rft I agree to p4ve tfltal amount accor i 0 the card is SIgnature: ~ r agreement & understand this convenience fee will be charged to allow my payment via credit card. Printed: 02/29/201210:12:22 https://trx.npspos.comJpayapp/app ?component=%24 DirectLink&page=Receipt&service=d... 2/29/2012