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Credit Card (6)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $40.00 TOTAL: $43.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 DANA M LUCCHESE Transaction Number: 415499 Date Processed: 04/24/2013 15:41:45 EDT Transaction Type: Credit Card VISA -Swiped CardNumber: * * * * * * ** * * * * 1216 Authorization: 0541 I S Reference Number: 00692088 Misc Cash $40.00 Total: $40.00 I agree to 6tal amount according to the card Signature: ~/ ~s~ ~.. MUIPAY•SERVICE FEE TOWN OF WAPPINGER 40 echnology Way Scarborough,ME 04074 877-564-5656 DANA M LUCCHESE Transaction Number: 415499 Date Processed: 04/24/2013 15:41:45 EDT Transaction Type: Credit Card VISA -Swiped CardNumber. * * * * * * * * * * * * 1216 Authorization: 064115 Reference Number: 00692090 Convenience Fee $3.00 Total: $3.00 amount according to the carer agreement & understand this convenience fee wdl be charged to allow my payment via credit card. Thank You Printed: 04/24/2013 15:41:53 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/24/2013