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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $50.00 $51.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 ANTON LJUUDJURAJ ..........................................................................-.................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc ~ash Total: 256045 06/13/2012 10:21:11 EDT Credit Card CardNumber: ............3319 08631P 00944299 $50.00 $50.00 NPS MUNICIPA Y CONV FEE - TO 400 Technology Way Scarborough,ME 04074 877-564-5656 o the card issuer agreement I agre~ ~ve t Sign~_ OF WAPPINGER, NY ANTON UULJDJURAJ .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenienc~ Fee Total: 256045 06/13/201210:21:11 EDT Credit Card CardNumber: ............3319 08618P 00944298 $1.50 $1.50 I &greeE:O pay ove total Si : Prin . 06/ /2012 10:21 :23 the card issuer agreement & Wlderstand this convenience fee will be charged to allow my payment via credit card. https:/ /trx.npspos.com/payapp/app ?component=<'.Io24DirectLink.&page=Receipt&service=d... 6/13/2012