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Credit Card (2)Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE REFERENCE NUMBER AMOUNT PAYMENT ITEM $3.00 NPS Convenience Fee $30.00 Permits $33.00 TOTAL: ... ....................................................................................................... ....................................................................................... ... TOWN OF WAPPINGER 20 Middiebush Rd Wappingers FaIIs,NY 12590 845-297-0158 JERZY OGINSKIJR . . . . . . . . . . . . . . . . . ............................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 466079 Transaction Number: 07/022013 15:00:26 EDT Date Processed: Credit Card Transaction Type: CardNumber: "*'*"""""""`8551 VISA -Swiped 035654 Authorization: 00100507 Reference Number: $30.00 Permits $30.00 Total: I agree to pay ab e t amount accordin the card issuer ement Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 JERZY OGINSKI JR ................ ....................................................... ............................ ............................................................................... ............................................................ 466079 Transaction Number: 07/022013 15:00:26 EDT Date Processed: Credit Card Transaction Type: CardNumber: "•'"""'""'"'8551 VISA -Swiped 035654 Authorization: 00100508 Reference Number: $3.00 Convenience Fee $3.00 Total: I agree ay a e t amount actor ' o the card issue me understand this convenience fee will be charged to allow my payment via credit card. Signature Thank ou Printed: 07/02/2013 15:00:32 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 7/2/2013