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Credit CardReceipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 STEVEN CARINCI Transaction Number: 343428 Date Processed: 01/04/2013 11:13:23 EST Transaction Type: Credit Card VISA-Swiped CazdNumber: ***********"2903 Authorization: 001324 Reference Number: 00504567 Misc Cash $50.00 Total: $50.00 I agree to pa above total amo cording to the card issuer agreement. Signa NPS MUN IPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 STEVEN CARINCI Transaction Number: 343428 Date Processed: 01/04/2013 11:13:23 EST Transaction Type: Credit Card VISA-Swiped CardNumber: ***********"2903 Authorization: 001324 Reference Number: Convenience Fee ~ _ 00504566 $3.00 Total: / $3.00 I agree to pay ytfove total amount a~PdingJp~A"e card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: 11:13:48 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /4/2013