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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 MELISSA A FUSCO Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $40.00 $43.00 Transaction Number: 375391 Date Processed: 02/22/2013 15:26:45 EST Transaction Type: Credit Cazd VISA-Swiped CazdNumber: ************9118 Authorization: 052615 Reference Number: 00685283 Misc Cash $40.00 Total: $40.00 1 a ,~\r~ ~oay~/arbove tptal amount according to the cazd issuer agreement NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 MELISSA A FUSCO Transaction Number: 375391 Date Processed: 02/22/2013 15:26:45 EST Transaction Type: Credit Card VISA-Swiped CazdNumber: ************9118 Authorization: 052615 Reference Number: 00685284 Convenience Fee $3.00 Total: $3.00 I agree to pay above total amount acc rding to the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd Signature: - Printe .02/22/2013 15:26:52 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/22/2013