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Credit Card (3)Kece;;pt TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 $10.00 Misc Cash $13.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 KRISTEN D SIMMS ................................................. . ............................................................................................................... .... 449959 Transaction Number: 06/10/2013 1S:S4:36 EDT Date Processed: Credit Card Transaction Type: CardNtunber:*«-«««««***r9296 VISA -Swiped 651776 Authorization: 00937576 Reference Number: $10.00 Misc Caeh $10.00 Total: I agree t pay abo e t al amount accordi to the c d iss r Signs MUNICIPAY"SERVICE FEE TOW PPINGER 400 Technology Way Scarborough.ME 04074 877-564-5656 KRISTEN D SIMMS Transaction Number: Date Processed: Transaction Type: VISA • Swiped Authorization: Reference Number: 449959 06/10/2013 ]S:S4:3G EDT Credit Card CardNumber: **********"*9296 651775 00937S7S Convenience Fee Total: I agree to pay ab talAamrnmt~aeeerdir~ t the car issuer a~reement & understand this convenience fee will be charged to allow my payment via credit card. Signature:,, Thank You ' /v/ Printed: 06/10/2013 ]S:S4:42 https://trx.npspos.com/payapp/app?component=%24DirectLink&pabe=Receipt&service=d. $3.00 S3.00 6/10/2013