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Credit CardReceipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER NPS Convenience Fee AMOUNT Misc Cash $3.00 TOTAL: $30.00 ............................................................................................................................................................................................ $33.00 .............................................. TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 JEAN M CAREY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash Total: I agree -~jabove total amount according to they d~is~uer agreement. 400 Technology Way ' 'J Scazborough,ME 04074 877-564-5656 388679 03/14/2013 11:16:18 EDT Credit Card CazdNumber: ************0312 28628P 00707399 $30.00 $30.00 JEAN M CAREY Transaction Number: ...............................................................................................................................................................................................~ Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: 388679 03/14/2013 11:]6:18 EDT Credit Cazd CazdNumber. ***********+0312 28795P 00707400 I agree to ove total amt according to the caz i~uer a Bement & understand this convenience fee will be chaz ed to allow m 8r 8 y payment via credit cazd. Signatur ~ \y,~' i "/ Prin :03/14/2013 11:10 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d. $3.00 $3.00 3/14/2013