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Credit Card (6)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Building Dept TnTer REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $4.29 $175.00 $179.29 JOHEL DONGO Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Building Dept . Toml: ] agree to ay bove to ount ording to the card issuer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 408230 04/12/2013 15:00:36 EDT Credit Card CazdNumber: ****'*******1451 67572B 00484779 $175.00 $175.00 JOHEL DONGO Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 408230 04/12/2013 15:00:36 EDT Credit Card CardNumber: *"'*""***1451 67266E 00484775 Convenience Fee Total: I agree to ay bove total unt ac mg to the card issuer a Bement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 04/ 12/2013 15:00:42 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d. $4.29 $4.29 4/12/2013