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Credit Card (2)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT $3.00 NPS Convenience Fee $108.00 Building Dept $111.00 TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-4158 BONNIE RHODES 416865 Transaction Number: 04/26/2013 11:07:28 EDT Date Processed: Credit Cazd Transaction Type: ***~s***y,~~y CazdNumber: 6440 MASTERCARD -Swiped 018992 Authorization: 00168260 Reference Number $108.00 Building Dept $108.00 Total: I agree to pay ab ve o 1 amount acc~or(d~in~g t~o the Signature: L'l=~L-. 400 Technology Way Scazborough,ME 04074 877-564-5656 FEE TOWN OF WAPPINGER BONNIE RHODES 416865 Transaction Number: 04/26/2013 11:07:28 EDT Date Processed: Credit Cazd Transaction Type: MASTERCARD -Swiped CardNumber *""****""'6440 018962 Authorization: OO 168258 Reference Numbers $3.00 Convenience Fee / $3.00 Total: I agree pay a ce to 1 amount according to the card s ue agreement understand this convenience fee will be charged to allow my payment via credit card. Signature ~~~~ Thank Yo>f / Printed:0 01311:07:31 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/26/2013