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Receipt Page 1 of 1 TRANSACTION SUMMARY TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT $3.00 NPS Convenience Fee $57.00 Misc Cash $60.00 TOTAL: . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-0158 ADAM F BOEHMER 551214 Transaction Number: ]0/24/2013 11:24:55 EDT Date Processed: Credit Card Transaction Type: +,~w,~~~,~w+,~~~ CardNumber: 0051 VISA -Swiped 002456 Authorization: 00944873 Reference Number: $57.00 Misc Cash $57.00 Total: I agree to a ove total amo t according t the card issuer agreement. Signature. MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 ADAMFBOEHMER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 551214 Transaction Number: 10/24/2013 11:24:55 EDT Date Processed: Credit Card Transaction Type: *,~»,~~„~**»rt f CardNumber: 0051 VISA -Swiped 002456 Authorization: 00944872 Reference Ntunber: $3.00 Convenience Fee $3.00 Total: I agree to pay above total o t cc ding to the card issuer agreement & updEistand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 10/24/2013 11:2 5:03 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/24/2013