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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TATA7. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 REFERENCE NUMBER TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 JEFFREY JONES .................... ................................. ....... ......................................................................................................................... 381526 Transaction Number: 03/04/2013 12:03:10 EST Date Processed: Credit Cazd Transaction Type: CazdNumber: * * * * * * * * * * * *9490 VISA -Swiped 080312 Authorization: 00151431 Reference Number: $50.00 Permits $50.00 Total: I agree to pa above total amount a di t e card issu Signatwe: NPS MUNICIPAY CONY FEE - TO OF WAPPWGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 JEFFREY JONES ............................................. ................°--------- 381526 Transaction Number: 03/04/2013 12:03:10 EST Date Processed: Credit Card Transaction Type: CardNumber: *********"**9490 VISA -Swiped 080312 Authorization: 00151427 Reference Number: 00 $3 Convenience Fee ~~~ . $3.00 TotaL• I agree to pay above total amount Signature: ~_,_.~ Printed: 03/04/2013 12:03: Page 1 of 1 card issuer agrc):tttent sr/yuge tis convenience fee will be charged to allow my payment via credit card. l~ https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 3/4/2013