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Credit Card (3)Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $6.00 Misc Cash $9.00 TOTAL: .................................................................................. .......................................................... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-0158 CHERYL A MAXANER . . . . . .. . . . . . ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409987 Transaction Nwnber: 04/16/2013 10:30:44 EDT Date Processed: Credit Card Transaction Type: ^+sssass»sss CardNumber 6291 VISA -Swiped 012910 Authorization: 00440949 Reference Number: $6.00 Misc Cash ~ $6.00 Total: I agree to pay a t/ tal o t according the card issuer agreemenC~ ~~~/(/ Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 CHERYL A MAXANER .................................................... ...................................................................................................................... ........ 409987 Transaction Ntunber: 04/16/2013 10:30:44 EDT Date Processed: Credit Card Transaction Type: ssssssrsssss CardNumber: 6291 VISA -Swiped 012910 Authorization: 00440948 Reference Nwnber: $3 00 Convenience Fee . $3.00 Total: amount accordigg to the hard issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Printed: 04/ 16/2013 10:30:47 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt& service=d... 4/ 16/2013