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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 VINCENT S RUTA .......................... Transaction Number Date Processed: 370735 Transaction Type: 02/15/2013 13:19:19 EST VISA -Swiped Credit Cazd Authorization: CazdNumber: *******+****9929 Reference Number: 001913 Permits 00876991 Total: $50.00 1 agree to pay ove ojai.~ ount acc~~ssuer agreement. $50.00 Signature:l_~ j~~7 ~//) //~/ NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 VINCENT S RUTA Transaction Number: ................................................................................................................................................................................ Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Convenience Fee Total: ~}~06~ I agree to pay ove to C amofrfilr~c~ng c ~ ' s agree ent & understand this convenience fee wi11 be chazged to allow my payment via credit cazd. Signature: /f`//?Li/ Printed: 02/ 15/2013 13:19:26 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d. 370735 02/15/2013 13:19:19 EST Credit Cazd CazdNumber: ************9929 001913 00876992 $3.00 $3.00 2/15/2013