Credit Card (2)Receipt
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: VOID
AMOUNT
$3.00
$43.00
$46.00
Transaction Number: 618171
Date Processed: 01/06/2014 15:51:44 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: *****"****"*0023
Authorization:
Reference Number: 00714704
Misc Cash $43.00
Total: $43.00
I agre o p ove total amount according to the card issuer agreement
Signature
I~NICIPAY"SERVICE FEE TOWN OF WAPPINGER
4 Technology Way
Scarborough,ME 04074
877-564-5656
Transaction Number: 618171
Date Processed: 01/06/2014 15:51:44 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: ************0023
Authorization: ,
Reference Number: 00714706
Convenience Fee $3.00
Total: $3.00
I agree to ay above total amount acwrding to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Th You
to d : 01 /0 6 /2 014 15:51:5 8
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /6/2014