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Credit cardReceipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER NPS Convenience Fee AMOUNT Building Dept $3.68 TOTAL: $150.00 ................................................................................................................................ $153.68 .............................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 TONY SCOTT Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Building Dep[ Total: I agree to pay above total x unt actor ~ .the. tai ~ ue>= agreement. Signature: NPS MUNICIPAY CONV FEE~'F6~'N pF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 323594 11/20/2012 14:32:33 EST Credit Cazd CazdNumber. ************3978 07041B 00412668 $ l 50.00 $150.00 TONY SCOTT Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee 323594 11/20/2012 14:32:33 EST Credit Card CardNumber: ************3978 07039B 00412667 Total: ~'"~ I agree to pay above total oust a mg to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Printed:ll/20/ 214:32:38 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=. $3.68 $3.68 11 /20/2012