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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PA YMENT ITEM NPS Convenience Fee Building Dept TOTAL: REFERENCE NUMBER AMOUNT $3.68 $150.00 $153.68 ............................................................................................................................................................................................................................................., TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIls,NY 12590 845-297-4158 Ed ViIlegas .............................................................................................................................................................................................................................................. Transaction Nwnber: Date Processed: Transaction Type: MASTERCARD - Key Entered Authorization: Reference Nwnber: Building Dept Total: 297176 09/20/2012 12:41 :20 EDT Credit Card CardNumber: ************4037 027688 00445161 $150.00 $150.00 I agree to pay above total amount --- \~ure: -.---. NPS MUNICIPA Y CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 Ed Villegas .............................................................................................................................................................................................................................................. Transaction Number: Date Processed: Transaction Type: MASTERCARD - Key Entered Authorization: Reference Nwnber: Convenience Fee Total: 297176 09/20/2012 J2:41:20 EDT Credit Card CardNumber: ..*.*..*****4037 02769B 00445164 $3.68 $3.68 ~ee to pay above total am?~nt a ~ature: uer agreement & understand this convenience fee will he charged to allow my payment via credit card. Printed: 09/20/201212:41 :28 https:lltrx.npspos.com/payapp/app ?component=%24 DirectLink&page= Recei pt&service=d... 9/20/2012