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Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $10.00 $11.50 ........................................11.................................................................................................................................................................................................... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 REBECCA E RUDIN .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: 237335 04/26/2012 13:22:46 EDT Credit Card CardNumber: ............ 5692 763941 00592320 $10.00 510.00 I agree to::.} abovetOtal.am.y,rw"_ ;~ ~,.,_ SlgnatlU'e: . ", " . 0 <?~ < ~ ". . - NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER. NY 400 Technology Way Scarborough,ME 04074 877-564-5656 REBECCA E RUDIN ........11.................................................................................................................................................................................................................................... Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 237335 04/26/2012 13:22:46 EDT Credit Card CardNumber: ............5692 908260 00592323 $1.50 51.50 I 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. Signature: ~ ~ ~o__ -< ,,-"-.~ r e- pf'~ " , ~ Printed: 04/26/2012 13:22:52 https:lltrx.npspos.comlpayapp/app?component=%24DirectLink&page=Receipt&service=d... 4/26/2012