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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $15.00 $16.50 ....................................................................................................11.............................................................11......................................................................... TOWN OF W APPlNGER 20 Middlehush Rd Wappingers Falls,NY 12590 845-297-4158 BRENDAN MCGANN .............................................................................................................................................................................................................................................. Transaction Number: Date Processed; Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 228875 03/29/2012 15:46;33 EDT Credit Card CardNumher: ............4588 R8343B 00585052 $15.00 $15.00 Signature: NPS MUNICIPA Y CONV FEE - TOWN OF W APPlNGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 BRENDAN MCGANN ............................................................................................11................................................................................................................................................ Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 228875 03/29/2012 15:46:33 EDT Credit Card CardNumber: ............4588 R8341B 00585050 $1.50 Sl.50 I agree to pay a ve total amount acrg;o the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 03/29/2012 15:46:37 https:/ /trx.npspos.com/payapp/app?component=%24 DirectLink&page=Recei pt&service=d... 3/29/2012