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Credit CardReceipt Page 1 of 1 TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT $3.00 $50.00 ......................................................................................... $53.00 ................................................................................................................. TOWN OF WAPPINGER ""•'••••••••••••••••••••••••••••.~ 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-4158 WILLIAM A BARCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: I agree to pay ove total o a ording d issuer agreement. Signatur . MUNICIP *SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 397649 03/28/2013 14:38:30 EDT Credit Card CardNumber: **+*****+*+*9031 028]58 00434117 $50.00 $50.00 WILLIAM A BARCA Transaction Number: .......................................................................................................................................................................................................... Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Convenience Fee Total: 397649 03/28/2013 14:38:30 EDT Credit Card CardNumber: ************9031 028025 00434116 $3.00 $3.00 I agree pay ve total amount according to the card issue rstand this convenience fee will be charged to allow m a y p yment via credit card. Signature: ~~ ~~~ Th ou Print 0 /201314:38:37 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/28/2013