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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 $40.00 TOTAL: $43.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 DONALD BOOTH III Transaction Number: 472902 Date Processed: 07/12/2013 14:35:22 EDT Credit Card Transaction Type: MASTERCARD-Swiped CazdNumber ************4804 Authorisation: 033523 Reference Number: 00846096 Misc Cash $40.00 Total: $40.00 I attree3- ^`~ above total ~[fi mt accq;ding t@-d+c~ard isst~eement. // / \ Signature Y~ ~- MiJaQICIPAY"SERVICE FEE TOWN OF WAPPINGER 0 Technology Way Scazborough,ME 04074 877-564-5656 DONALD BOOTH III Transaction Number: 472902 Date Processed: 07/12/2013 14:35:22 EDT Transaction Type: Credit Cazd MASTERCARD -Swiped CardNumber: ************4804 Authorization: 033523 Reference Number: 00846098 Convenience Fee $3.00 Total: $3.00 I agree to nav above total amount acggrdipg-tq the card issyFcagce~ement & understand this convenience fee will be chazged to allow my payment via credit card. You L 07/12/2013 14:35:39 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 7/ 12/2013