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Credit Card (3)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINCER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 ANTHONY PAMPALONE REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $48.00 $51.00 Transaction Number: 343595 Date Processed: 01/04/2013 13:17:23 EST Transaction Type: Credit Card MASTERCARD -Swiped CazdNumber: ************3655 Authorization: 017362 Reference Number: 00548934 Misc Cash $48.00 Total: $48.00 I agree top above to ant according to card issuer agreement. Sign NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 ANTHONYPAMPALONE Transaction Number: 343595 Date Processed: 01/04/2013 13:17:23 EST Transaction Type: Credit Card MASTERCARD -Swiped CardNumber: "' *""*' * * *3655 Authorization: 017422 Reference Number: 00548935 Convenience Fee $3.00 / Total: $3.00 I agree to pay~fbove totalnt according t~ cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd Signature: V ~ Prin 104 1313:17:33 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /4/2013