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Credit Card (2)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 MIRIAM M REAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Permits Total: I agree to pay above total amo accordin the card iss Bement. Signature: ' MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 403856 04/05/2013 16:01:43 EDT Credit Cazd CardNumber: ************2979 1705]6 00626161 $50.00 $50.00 MIRIAM M REAL Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 403856 04/05/2013 16:01:43 EDT Credit Card CardNumber: ************2979 120011 00626162 Convenience Fee Total: I agree to pa above total amount ccor ' o the bard issuer a e ent & and rstand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 04/05/2013 16:01:49 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/5/2013