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Credit CardReceipt Page 1 of 1 TRANSACTION SUMMARY 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 Falls,NY 12590 845-297-4158 ROBERTSACKETT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash _ Total: I agree to pay a vet o t accordi o cazd issuer agreement. Signature. MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 416266 04/25/2013 15:03:31 EDT Credit Cazd CazdNumber: **"*********9483 064492 00954658 $50.00 $50.00 ROBERTSACKETT Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: I agree t ay ov t according a card is er agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank You Printed: 04/25/2013 15:05:01 416266 04/25/2013 15:03:31 EDT Credit Card CazdNumber: ************9483 064482 00954657 $3.00 $3.00 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/25/2013