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Credit CardPage 1 of 1 Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $6.13 NPS Convenience Fee $250.00 Building Dept $256.13 TOTAL: .............................................................................................................. .........• ............................................................. .... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 MARK S HOPKINS ........... ••••••~ .............................................. ..................... ...................................................................................................................... 379036 Transaction Number: 02/28/2013 13:45:43 EST Date Processed: Credit Card Transaction Type: CazdNumber: `**"""""2893 DISCOVER -Swiped 02885R Authorization: 00591719 Reference Nrunber: $250.00 Building Dept $250.00 Total: al amount according to the card issuer agreement. ot I agree to p y above t e ~ y ~'~-~ `-" Signatur NPS MUNICIPAY CONV FEE - TOWN OF WAPPINGER, NY 400 Technology Way Scazborough,ME 04074 877-564-5656 MARK S HOPKINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 379036 Transaction Number: 02/28/2013 13:45:43 EST Date Processed: Credit Card Transaction Type: CazdNumber: ""*"*"`""2893 DISCOVER -Swiped 02868R Authorization: 00591722 Reference Ntunber: $6.13 Convenience Fee $6.13 Total: I agree to ay above total amount according to the c issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signa ~~ ~ ~ ~ ~~~ Printed: 02/28/20 ] 3 13:45:52 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/28/2013