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Credit Card (5)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT $3.00 NPS Convenience Fee $65.00 Misc Cash $68.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 GEORGESCONBOY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408227 Transaction Number: 04/12/2013 14:55:26 EDT Date Processed: Credit Cazd Transaction Type: ~.. •.+..r ~ ~ CardNumber 5848 VISA -Swiped 089519 Authorization: 00482306 Reference Number: $65.00 Misc Cash $65.00 Total: I agree to pay move total amount according to a cazd i~uer ~Tt Signature: - w - - v i MUNICIPAY'SERVICE F TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 GEORGESCONBOY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408227 Transaction Number: 04/12/2013 14:55:26 EDT Date Processed: Credii Cazd Transaction Type: *,r~~w*...,.w CardNumber: 5848 VISA -Swiped 089520 Authorization: 00482309 Reference Number: $3.00 Convenience Fee $3.00 TotaL• I agree to pay abov total amount according to the card ' uer agr t & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 04/12/2013 14:55:34 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 12/2013