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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-0158 KIMBERLY M EDWARDS REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $40.00 $43.00 490331 Transaction Number: 08/05/2013 10:14:44 EDT Date Processed: Credit Cazd Transaction Type: CazdNtunber:************1304 VISA -Swiped 961420 Authorization: 00384266 Reference Number: $40.00 Misc Cash $40.00 Total: I agree to pay bpve amount ccor ' to a card issuer Bement. Signature: ~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 KIMBERLY M EDWARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490331 Transaction Number: 08/05/2013 10:14:44 EDT Date Processed: Credit Card Transaction Type: VISA -Swiped CazdNumber: ********"***1304 Authorization: 961423 00384269 Reference Number: $3.00 Convenience Fee 53.00 Total: I agree to pay a oust ac rdin to c d issuer eem t & unders d this convenience fee will be charged to allow my payment via credit cazd. Signature: ~ Thank You Printed: 08/05/2013 10:14:51 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 8/5/2013