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Credit Card (2)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Permits $50.00 TOTAL: $53.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . TOWN OF WAPPINGER 20 Midd]ebush Rd Wappingers Falls,NY 12590 845-297-4158 JIMENA M CORTES Transaction Number: 449501 Date Processed: 06/10/2013 11:58:12 EDT Transaction Type: Credit Card MASTERCARD -Swiped CardNumber ************8678 Authorization: 187060 Reference Number: 00853961 Permits $50.00 Total: $50.00 [ agree top above total according to the c d iss er agreement. Signature: MUNICIPAY'SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 JIMENA M CORTES Transaction Number: 449501 Date Processed: 06/10/2013 11:58:12 EDT Transaction Type: Credit Card MASTERCARD-Swiped CardNumber: ""'**"*"8678 Authorization: ] 87058 Reference Number: 00853959 Convenience Fee $3.00 Total: $3.00 I agree to pYay abnite-rata} oust actor ng o issuer agreemen c'fmderstand this convenience fee will be charged to allow my payment via credit card. Signature:/\ ~ Thank You Printed: 06/ 10/2013 11:5 8:18 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 6/ 10/2013