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Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 CRAIG H DELAMATER Transaction Number: 419313 Date Processed: 04/30/2013 09:18:55 EDT Transaction Type: Credit Cazd VISA-Swiped CazdNumber: ************1733 Authorization: 816697 Reference Number: 00215913 Misc Cash ~r $50.00 , Total: ~,.~ $50.00 to ~ay above total amoun~c~rdin~ the ssuer agreement. 400 Technology Way Scazborough,ME 04074 877-564-5656 FEE TOWN OF WAPPINGER CRAIG H DELAMATER Transaction Number: 419313 Date Processed: 04/302013 09:18:55 EDT Transaction Type: Credit Cazd VISA -Swiped CazdNumber: ************ 1733 Authorization: 816696 Reference Number: 00215911 Convenience Fee $3.00 / ~ Total: $3.00 I agree pay above tal amount ac card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: 04/30/2013 09:19:09 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/3 0/2013