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Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 VALENTINE DALBRO Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 Transaction Number: 358224 Date Processed: 01/30/2013 11:41:32 EST Transaction Type: Credit Card MASTERCARD-Swiped CazdNumber. *«********+•1772 Authorization: 03999P Reference Number: 00872725 Permits _ $30.00 Total: / $30.00 ] agree tol'p~py\\`abov/e/jtg~ ~/~/~~7 /m/oan ordDing [o c~/d\)tssu/e~`r agYr/e~eme /~ Signature: ~ y I / (/ t l~l ~. L V - / / ~I~ _ l.. /J NPS MUNICIPAY CONV FEE - TO~VAI OF WAPPINGER, NY 400 Technology Way VV Scazborough,ME 04074 877-564-5656 VALENTINE DALBRO Transaction Number: 358224 Date Processed: 01/30/2013 11:41:32 EST Transaction Type: Credit Card MASTERCARD -Swiped CazdNumber: * * * * * * * ** * * * 1772 Authorization: 03996P Reference Number: 00872724 Convenience Fee $3.00 TotaL• r $3.00 I agree pay ab ve x6t amoan ording to car issuer a eeme & understand this convenience fee will be charged to allow my payment via credit cazd. Signatur (i r Pnnte~ 01/30/2013 11:41:38 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /30/2013