Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 VINCENT P MULLIGAN Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396475 Date Processed: 03/27/2013 09:22:55 EDT Credit Cazd Transaction Type: VISA -Swiped CazdNumber: ******'*****3628 625663 Authorization: Reference Number: 00562202 $50.00 Misc Cash $50.00 Total: I agree. two p~ab`ov ~/~ amoi, t e card issuer agreement Signad,rPJ~ / "`' MUNIZ`IPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 VINCENT P MULLIGAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396475 Date Processed: 03/27/2013 09:22:55 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: ************3628 Authorization: 625647 Reference Number: 00562201 Convenience Fee $3.00 Total: $3.00 o the t b reement & understand this convenience fee will be charged to allow my payment via credit card. er a ve ous ac I agree to pay a g Signature: Thank You Printed: 03/27/2013 09:23:07 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/27/2013