Credit Card (4)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Miac Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 VINCENT DALO Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I afire o pay ve total o t accor ' to the cazd issu agreement. Signatur NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 353703 01/23/2013 10:16:22 EST Credit Cazd CazdNumber: ************5523 085059 00302378 $50.00 $50.00 VINCENT DALO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 353703 01/23/2013 10:16:22 EST Credit Cazd CazdNumber: ************5523 085097 00302380 Convenience Fee $3.00 Total: $3.00 I agree to p above total amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signa[ 2013 10:]6:36 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /23/2013