Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
LUIS M GUERRA
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$40.00
$43.00
Transaction Number: 586704
Date Processed: 12/03/2013 08:39:42 EST
Transaction Type: Credit Card
VISA-Swiped CardNumber: **'*********4752
Authorization: 115694
Reference Number: 00117472
Misc Cash $40.00
Total: $40.00
I agree to pay above I amount according t e card iccuer agreement.
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
LUIS M GUERRA
Transaction Number: 586704
Dale Processed: 12/03/2013 08:39:42 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: **********"*4752
Authorization: 115695
Reference Number: 00117473
Convenience Fee $3.00
Total: ~ $3.00
I agree to pay abgve t count according to the cardagreement & understand this convenience fee will be charged to allow my payment via credit card
Signature
Thank You
Printed: 12/03/2013 08:39:57
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&... 12/3 /2013