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Credit Card (3)Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE AMOUNT REFERENCE NUMBER 00 $3 PAYMENT ITEM . NPS Convenience Fee $50.00 Permits $53.00 .................. TOTAL: ................................................................................. .......................................... ....... TOWN OF WAPPINGER 20 Middlebush Rd WappingersFalls,NY 12590 845-297-4158 EDWARD H HARTLING SR .......................... ..............................................................................., .. .............. 363385 Transaction Number: 02/06/2013 10:17:08 EST Date Processed: Credit Cerd Transaction Type: CardNumber: rwrwwwwwrrr8727 V1SA -Swiped 395644 Authorization: 00540537 Reference Number: $50.00 $50.00 Permits Total: I agree to pay a~OVe total amount accor 'Ztrth d issuer agreement. Signature: ~~ ~ ~./ / "~ NPS MUNICIPAY CONY FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scarbomugh,ME 04074 877-564-5656 EDWARD H HARTLING SR ........................................ .......................................... ............................................................................................................................................................ 363385 Transaction Number: 02/06/2013 10:17:08 EST Date Processed: Credit Card CardNumber: r*wwwwswrwww8727 Transaction Type: 395645 VISA -Swiped 00540539 Authorization: Reference Number. $3.00 Convenience Fee ~ S3.00 Total: I agree to pay ab otal amount according to and issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: - , Printed: 02/06/2013 10:17:16 https: //tr}c.npspos. coin/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 2/6/2013