Credit Card Receipt Page 1 ofl TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $40.00 $41;50 .............................................................................................................................................................................................................................................. TOWN OF W APPlNGER 20 Middlebush Rd WappinSetB Falls,NY 12590 845-297-4158 lARAD FATlGATE .....................................................................................................................-................................................................................--.................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Au1horizalion: Reference Number: ~~ I ~e to pay above ount . Ute card i88ll8l' asreement Slsnature: '=::' 249248 OS/29/201208:58:41 EDT Credit Card CardNumber: ............1848 978939 00550589 $40.00 ~.OO NPSMUNIClPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborousb,ME 04074 877-564-5656 JARAD FATIGATE ............................................................................................................................-...-..........-.........................-.......................-..................................., Transaction Number: DateProcesaed: Transaction Type: MASTERCARD - Swiped Au1horizalion: Reference Number: Convenience Fee Tolal: 249248 OS/29/201208:58:41 EDT Credit Card CardNumber: ............1848 978936 00550587 $1.50 SUO to card iu_ agreanent &; undentand this.convenience fee will be cluuged to allow my payment via credit card. .-- Sisnature: https://trx.npspos.com/payapp/app?component=%24DirectLink.&page=Receipt&service=d... 5/29/2012