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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.68 Building Dept $150.00 TOTAL: $153.68 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 HOMING M LEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 536390 Date Processed: 10/04/2013 10:55:33 EDT Transaction Type: Credit Card DISCOVER-Swiped CazdNumber: ************3203 Authorization: 00411P Reference Number: 00639826 Building Dept $150.00 Total: 5150.00 I agree to pay above total amount accord' o the card issuer agreement. Signature: MUNICIPAY"SER~FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 HOMING M LEE Transaction Nmnber: 536390 Date Processed: 10/04/20]3 10:55:33 EDT Transaction Type: Credit Card DISCOVER -Swiped CazdNumber: *********+**3203 Authorization: 00421P Reference Number: 00639828 Convenience Fee $3.68 Total: $3.68 I agree to pay abo ~e t e issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. Signature: _~',_ Thank You Printed: 10/04/2013 10: S~ 4 https://trx.npspos.com/payapp/app?component=0/t124DirectLink&page=Receipt&service=d... 10/4/2013