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Credit Card (4)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $45.00 TOTAL: $48.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 LOUIS TEMPESTILLI Transaction Number: 399585 Date Processed: 04/01/2013 12:41:06 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber: ************8546 Authorization: 03214C Reference Number: 00451354 Permits - $45.00 Total: $45.00 I agree to pa above to amount according to the card issuer agreement. Signature: ~-rti* ~-p~L./1 ~ L ~~ ~ ~ ~-~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 LOUIS TEMPESTILLI Transaction Number. 399585 Date Processed: 04/012013 12:41:06 EDT Transaction Type: Credit Cazd VISA-Swiped CazdNumber: *******"****8546 Authorization: 03218C Reference Number: 00451355 Convenience Fee $3.00 Total: $3.00 I agree to pays/bove tot amount according to the card issuer agree[ ent & understand this convenience fee will be charged to allow my payment via credit card. Signature: /}( ~y,~t Thank You Printed: 04/01/2013 12:41:11 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/ 1 /2013