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Credit CardReceipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $30.00 TOTAL: $33.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-0158 GEORGE HANNA Transaction Number: 411138 Date Processed: 04/172013 15:09:07 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber: ************9443 Authorization: 017161 Reference Number: 00799769 Misc Cash 0 $30.00 Total: , $30.00 I agree to pay a~gfaYarpopnt according to the caz~issuh agreement. MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 GEORGE HANNA Transaction Number: 411138 Date Processed: 04/172013 15:09:07 EDT Transaction Type: Credit Cazd VISA-Swiped CazdNumber. **"****""***9443 Authorization: 017356 Reference Number: 00799768 Convenience Fee D $3.00 Total: / $3.00 I agree topay a~otal amydi{~~c~ding to the cazd issuer~g~e~fn~. understand this convenience fee will be chazged to allow my payment via credit card. Thank You Printed: 04/ 17/2013 15 :09:11 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 17/2013