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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 $40.00 $41.50 .............................................................................................................................................................................................................................................. TOWN OF WAPPINGER 20 Middlehush Rd Wappingers Falls,NY 12590 845-297-4158 JOSEPH G PATTI ............................................................................................................................................................................................................................................., Transaction Numher: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Numher: Mise Cash Total: 293241 09/11/201211:32:20EDT Credit Card CardNumber: ............8347 H07293 00170406 $40.00 $40.00 ] ~gree to pay a~unt b's ~s~er agreement. SIgnature: /' j-. . ;/ {/ NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 T echoology Way Scarborough,ME 04074 877-564-5656 JOSEPH G PATTI ............................................................................................................................................................................................................................................., Transaction Number: Date Processed: Transaction Type: MASTERCARD - Swiped Authorization: Reference Numher: Convenience Fee Total: 293241 09/11/201211:32:20 EDT Credit Card CardNumber: ...."'.......8347 H03443 00170409 $1.50 $1.50 ard issuer.agreement & understand this convenience fee will he charged to allow my payment via credit card. Signature: Printed: 09/11/2012 11 :32:27 https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page=Receipt&service=d... 9/1112012