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Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $40.00 $43.00 LISA KNOWLES Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash Total: ~ i~ - I agre o pay a o total amount rding to card issu einent. i~ Signature: MU CIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 558866 11/01/2013 12:35:19 EDT Credit Card CazdNumber: ************9465 05624T 00562588 $40.00 $40.00 LISA KNOWLES Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee 558866 11/01/2013 12:35:19 EDT Credit Card CazdNumber: "**"*"""*"*"9465 05622T 00562589 TotaL• fs, [ agree to pay above total unt a ordin t'~ie cazd i~snei"/gr ahi & understand this convenience fee will be charged to allow my payment via credit card. J Signature: Thank You Printed: 11 /01 /2013 12:3 5:30 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 11 /1 /2013