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Credit Card
Receipt li Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $40.00 $41.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 MICHAEL V HENDRYK .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Rererence Number: Mise Cash Total: 230763 04/04/2012 13:56:11 EDT Credit Card CardNumber: ............4218 22490B 00596954 $40.00 $40.00 Signature: MICHAEL V HENDRYK ...................................................................................................................................................................................11......................................................... Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 230763 04/041201213:56:11 EDT Credit Card CardNumber: ............4218 22 115B 00596951 $1.50 $1.50 card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: https:/ /trx.npspos.comlpayapp/app?component=%24 DirectLink&page=Receipt&service=dir... 4/4/2012