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Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Mist Cash $15.00 TOTAL: $18.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297.4158 CYNTHIA VASQUEZ Transaction Number: 392453 Date Processed: 03/20/2013 09:26:40 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: ************3768 Authorization: 002609 Reference Number: 00261650 Misc Cash $15.00 ^ Total: j $15.00 I agree to pay~tliove total~{ou^ttt actor ' o th~ card issuer agreement. Signature: MUNICIPAY"SERVICE FEE 400 Technology Way Scazborough,ME 04074 / 877-564-5656 CYNTHIA VASQUEZ Transaction Ntunber: 392453 Date Processed: 03/20/2013 09:26:40 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: ************3768 Authorization: 002609 Reference Number: 00261649 Convenier~P FPP $3.00 Total: $3.00 I agree to 1 Signature: Printed: 0? :e will be charged to allow my payment via credit card. https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/20/2013