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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $65.00 $68.00 TOTAL: ...................................................................................................................................................... TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 MARIA CALDERIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430212 Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Permits Total: I agree t pay ab a amount accordin e d issuer agreement. Signature: MUNIC "SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 05/14/2013 09:22:39 EDT Credit Cazd CazdNumber: `"""`""'""1466 07238S 00288814 $65.00 $65.00 MARIA CALDERIN ................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430212 Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Nrunber: 05/14/2013 09:22:39 EDT Credit Card CazdNumber: '"*""""`"1466 07233S 00288813 Convenience Fee Total: I agree t ay ove total t according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: Thank Y Printed: 05/14/2013 09:22:45 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=d. $3.00 $3.00 5/14/2013