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Credit Card Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM NPS Convenience Fee Mise Cash TOTAL: REFERENCE NUMBER AMOUNT $1.50 S50.00 S51.50 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 JEFFREY T BOLDRlN .............................................................................................................................................................................................................................................. Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Misc Cash Total: 284529 08/22/2012 10:56:03 EDT Credit Card CardNwnber: ............9948 R7723B 00170499 $50.00 S50.00 Signatur NPS MUNICIPA CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 ............................................................................................................................................................................................................................................., JEFFREY T BOLDRIN Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Nwnber: Convenience Fee Total: 284529 08/22/2012 10:56:03 EDT Credit Card CardNwnber: ............9948 R7721B 00170498 $1.50 SI.50 the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed: 08/22/2012 10:56:14 https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=d... 8/22/2012