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Credit Card (4) Receipt Page 1 ofl TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience F eo Mise Cash TOTAL: REFERENCE NUMBER AMOUNT SI.50 S15.00 S16.50 .............................................................................................................................................................................................................................................. TOWN OF W APPlNGER 20 Middlebush ReI Wappingers Falls,NY 12590 g45-297-4158 KATHRYN ONEILL .............................................................................................................................................................................................................................................. Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Mise Cash Total: 249844 05/30/201209:36:18 EDT Credit Card CardNwnber: ............2884 05569B 00296326 S15.oo S15.oo 1 agree to pay a~COrcling to the card iss~ agreement. Signature: 0 r ,J I? ~ Q{ ( NPS MUNIClPA Y CONY FEE - TOWN OF W APPlNGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 KATHRYN ONEILL .............................................................................................................................................................................................................................................1 Transaction Number: Date Processad: TIlIIl8BCtion Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience F eo Total: 249844 05130/201209:36:18 EDT Credit Card CardNumber: ............2884 05574B 00296327 S1.50 SI.50 1 agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via cradit card. Signature: t l1[~ --- () 'I) ,PL' ee f ' Printed: 05130/2012 09;36:28 https://trx..npspos.com/payapp/app ?component=%24 DirectLink&page=Receipt&service=d... 5/30/2012