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Credit Card (2)Receipt TRANSACTION SUMMARY Page TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 $45.00 Recreation $48.00 TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845.297-4158 JESSICA M ALCANTARA 353780 Transaction Number: 01/23/2013 11:10:40 EST Date Processed: Credit Card Transaction Type: VISA -Swiped CardNumber:************2652 001011 Authorization: 00311809 Reference Number: $45.00 Recreation - $45.00 TotaL• I agree to pay~ve t acc to t to ' s eeme Signature: NPS MUNICIPA CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scarborough,ME 04074 877-564-5656 JESSICA M ALCANTARA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353780 Date Processed: 01/23/2013 11:10:40 EST Transaction Type: Credit Card VISA -Swiped CardNumber: ************2652 Authorization: 001011 Reference Number: 00311808 Convenience Fee $3.00 Total: $3.00 I agree to pay abo to ou ac oThe a d. su r agree t &. understand this convenience fee w81 be charged to allow my payment via credit card. Signature: Printed: O ] /23/2013 11:10:47 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /23/2013