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Credit Card (4)Page 1 Receipt TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $44.00 Misc Cash $47.00 TOTAL: ..................................................................................................... ....... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 JONATHAN W RICCI .............. .................................... .................................................. ...................................................................................................... .................................. 401515 Transaction Number: 04/03/2013 11:04:18 EDT Date Processed: Credit Card Transaction Type: CardNumber: ' *"`*"`*"`*' 5697 VISA -Swiped 296689 Authorization: 00928375 Reference Number: _ $44.00 Misc Cash $44.00 Total: I agree to pay ove total amount according to the card issuer agreement. »~ Signature: MU ICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 JONATHAN W RICCI .... ................................................. ............................................................................................................................................. 401515 Transaction Number: 04/03/2013 11:04:18 EDT Date Processed: Credit Cazd Transaction Type: CazdNumber: '"* *""* • `5697 VISA -Swiped 296685 Authorization: 00928374 Reference Number: $3.00 Convenience Fee $3.00 Total: to p~zy above total amount according to the cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Thank You Printed: 04/03/2013 11:05:07 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/3/2013