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Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 $30.00 $31.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 THOMAS DOCHERTY ............................................................................................................................................................................................................................................., Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Misc Cash Total: 274931 07/31/201214:54:51 EDT Credit Card CardNumber: ************9400 070012 00471174 $30.00 $30.00 Signature: NPS MUNlCIPAY CON V FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 THOMAS DOCHERTY ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 1 agree to ay ab~ve tal !'lunt according to '\/\/1 //) Signature. r · ~ 274931 07/31/201214:54:51 EDT Credit Card CardNumber: ************9400 070092 00471175 $1.50 $ 1.50 this convenience fee will be charged to allow my payment via credit card. Printed: 07/31/201214:55:02 https:/ /trx.npspos.comlpayapp/app?component=%24 DirectLink&page=Receipt&service=d... 7/31/2012