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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 $30.00 TOTAL: $33.00 TOWN OF WAPPINGER 20 Middlebusb Rd Wappingers FaI1s,NY 12590 845-297-4158 ROBERT TUCCIARIELLO Transaction Number: 453326 Date Processed: 06/14/2013 13:14:59 EDT Transaction Type: Credit Cazd MASTERCARD -Swiped CardNumber. ********"***8159 Authorization: 781958 Reference Number: 00520625 Misc Cash $30.00 Total: $30.00 I agree to pay ove o '~ , obi acc rding to,(he is'' agreement. Signatur /` G~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 ROBERT TUCCIARIELLO Transaction Number: 453326 Date Processed: 06/14/2013 13:14:59 EDT Transaction Type: Credit Cazd MASTERCARD-Swiped CazdNumber: ***********'8159 Authorization: 781970 Reference Number: 00520630 Convenience Fee $3.00 Total: $3.00 I agree to pay bove t~ rdin !o the card iss agre ~ t $vLnderstand this convenience fee will be charged to allow my payment via credit card. Signature: ~ Thank Yo Printed: 06/ 14/2013 13:15:04 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 6/ 14/2013