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Credit Card (2)Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Building Dept $50.00 TOTAL: $53.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 CRIS E BRADLEY Transaction Number: 507878 Date Processed: 08/28/2013 14:52:18 EDT Transaction Type: Credit Card VISA -Swiped CardNumber. ************5653 Authorization: 095214 Reference Number: 00795740 Building Dept $50.00 Total: $50.00 I agree to pay ab a to ount ding to d issuer agreement. Signature: MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 CRIS E BRADLEY Transaction Number: 507g7g Date Processed: 08/28/2013 14:52:18 EDT Transaction Type: Credit Cazd VISA -Swiped CazdNumber: ************5653 Authorization: 095214 Reference Number: 00795739 / Convenience Fee $3.00 TotaL• $3.00 1 agree to pay ab e to ~ount~o 'ng to the c rd ssuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: 14:52:31 https://trx.npspo s.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 8/28/2013