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Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 RAULCORONEL Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 Transaction Number: 387923 Date Processed: 03/13/2013 11:15:58 EDT Transaction Type: Credit Card MASTERCARD-Swiped CardNumber: ************1397 Authorization: 909430 Reference Number: 00438522 Pennits $50.00 Total: $50.00 I agree to pay above total,pmott}tt accor~ to the cazd issuer agreement Signatwe: ~l i ~t'ItitilP MUNICIPAY"SERVICE FEE 400 Technology Way Scarborough,ME 04074 877-564-5656 RAULCORONEL Transaction Number: 387923 Date Processed: 03/13/2013 11:15:58 EDT Transaction Type: Credit Card MASTERCARD -Swiped CazdNumber: ******•*•***1397 Authorization: 909431 Reference Number: 00438523 Convenience Fee $3.00 Total: $3.00 I agree to pay abo totals/ ]mount cording to a cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. / Signatwe: J ,O r~(~{ ~.( ~')~Ce~ d Printed: 03/1 3201 3 1 1:16:06 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/13/2013