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Credit Card (3)Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $1.50 NPS Convenience Fee $50.00 Misc Cash $51.50 TOTAL: ...................................................................................................................................................... . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4]58 KELVINSAEZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 340423 Transaction Number: 12/31/2012 09:22:03 EST Date Processed: Credit Cazd Transaction Type: CazdNumber: **"******"**3292 MASTERCARD -Swiped 06140P Authorization: 00151607 Reference Number: $50.00 Misc Cash ~ $50.00 Total: I agree to pay above c to the cazd issuer agreement. Signature: NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 KELVINSAEZ .......................................................... .................................................... ............................................................... ........ 340423 Transaction Number: 12/31/2012 09:22:03 EST Date Processed: Credit Card Transaction Type: CazdNtunber:****'*******3292 MASTERCARD -Swiped 06132P Authorization: 00151606 Reference Number: $1.50 Convenience Fee $1.50 Total: I agree to y above,~tal~txount c t ie„gard issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signatur Printed: 1 /2012 09:22:11 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=... 12/31 /2012