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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 FaIIs,NY 12590 845-297-4158 RUBEN CRUZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 553683 Date Processed: 10/28/2013 12:35:50 EDT Transaction Type: Credit Card VISA -Swiped CazdNumber: *+"++++•++++3303 Authorization: 23044B Reference Number: 00529631 Misc Cash $40.00 Total: $40.00 I agree to bove total amount accordin az issuer agreement. Signa e: M ICIPAY"SERVICE F P[NGER 400 Technology Way Scazborough,ME 04074 877-564-5656 RUBEN CRUZ Transaction Number: 553683 Date Processed: 1028/2013 12:35:50 EDT Transaction Type: Credit Cazd VISA-Swiped CazdNumber: ***""******"3303 Authorization: 23141 B Reference Number: 00529632 Convenience Fee $3.00 Total: $3.00 I a ee to' above tota ~ o~t according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card. ~ Signat ri % / // s~ ---'~-~ You C 10/28/2013 12:35:55 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/28/2013