Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$40.00
$43.00
BERAT LATIFAJ
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay a ve tal a u t ac ording to the cazd issuer Bement.
Signature:
MUNIC Y"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
BERAT LATIFAJ
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
602387
12/18/2013 14:56:32 EST
Credit Card
CazdNumber. ************9529
035614
00184657
- $40.00
$40.00
602387
12/18/2013 14:56:32 EST
Credit Cazd
CazdNumber: ************9529
035614
00184656
Convenience Fee $3.00
Total: $3.00
I agree to pay above t according the issuer~grespien~derstand this convenience fee will be charged to allow my payment via credit cazd.
Signature:
Thauk You
Printed: 12 / 18/2013 14:5 6:42
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 12/ 18/2013