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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 $50.00 553.00 TOTAL: •••••~ ............................................................................................................................... . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 VAUGHN C PAGE ...................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 465634 Transaction Number: 07/022013 10:24:12 EDT Date Processed: Credit Card TranssetionType: CardNumber. rrrrrrrrrrr-0870 VISA -Swiped 709595 Authorization: 00997952 Reference Number. $50.00 Permits ~ $50.00 Total: I agree top above total amount ac c 'ng to the card issuer agreement. Signs MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 VAUGHN C PAGE . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ......................................................................................... 465634 Transaction Number: 07/022013 10:24:12 EDT Date Processed: Credit Card Transaction Type: CardNumber: *rrrr-rsrrrr0870 VISA -Swiped 709591 Authorization: 00997950 Reference Number. $3.00 Convenience Fee S3.00 TotaL• I agree t ay ove total amount accord' to the card issuer agreement & understand this convenience fae will be charged to allow my payment via credit card. Signature• Thank Printed: 07/02/2013 10:24:24 https ://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&.service=dir... 7/2/2013