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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Mise Cash TOT AI.: REFERENCE NUMBER AMOUNT $1.50 $40.00 $41.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 MATTHEW RIDDICK .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Mise Cash Total: 283783 08/20/2012 14:30:31 EDT Credit Card CardNwnber: .**...***...9078 00990Z 00752756 $40.00 $40.00 NPS MUNICIPA Y CONY FEE - TOWN 400 Technology Way Scarborough, ME 04074 877-564-5656 I agree to pay above total amount a Signature: MATTHEW RIDDICK ............................................................................................................................................................................................................................................., Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Number: Convenience Fee Total: 283783 08/20/201214:30:31 EDT Credit Card CardNwnber: ......***.**9078 00968Z 00752755 $1.50 $1.50 I agree to pay above total amount greement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 08/20/201214:30:47 https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Recei pt&service=d... 8/20/2012