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Credit Card (2)Page 1 of 1 Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 TOWN OF WAPPINGER 20 Middlebush Rd WappingersFalls,NY 12590 845-297-4158 HERBERT E LEE . . . . . . . . . . . . . . . . . . . . . . ..................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401410 Transaction Number: 04/03/2013 09:57:11 EDT Date Processed: Credit Cazd Transaction Type: CazdNutnber: ***********'2385 MASTERCARD -Swiped 940623 Authorization: 00914631 Reference Number: $30.00 Misc Cash $30.00 Total: I agree to pay ov to amount according to th~ azd issuer agreemen~ Q.. Sigtature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 HERBERT E LEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401410 Transaction Number. Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 04/03/2013 09:57:11 EDT Credit Cazd CazdNtunber: ***********'2385 940620 00914630 Convenience Fee Total: 1 agre to pa above total o t according to e d issuer agreement & u~tand this convetuence fee will be charged to allow my payment via credit card Signature Thank You Printed: 04/03/2013 09:57:19 $3.00 $3.00 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/3 /2013