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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Building Dept TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $4.29 $175.00 .................................................................................................................................................. ........................................... .......................................... $179.29 TOWN OF WAPPINCER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 CHARLES SETTENS Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Building Dept Total: I agree to pay ve~ mount a c ding to ~ard i ue a t e t. Signature: (`-' -- MUNI "SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 463114 06/28/2013 13:12:01 EDT Credit Card CazdNumber: ************7476 06085A 00952709 $175.00 $175.00 CHARLES SETTENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Convenience Fee Total: 463114 06/28/2013 13:12:01 EDT Credit Card CazdNumber: ************7476 06088A 00952711 I agree to ay a to ount acc ng to th ~ issue a ee & derstand this convenience fee will be chazged to allow my payment via credit card. Signature: ~ t Thank ou Printed: 06/28/2013 13:12:05 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d.. $4.29 $4.29 6/28/2013