Credit Card (3)Page 1 of 1
Receipt
TRANSACTION SUMMARY TRANSACTION TYPE: SALE
AMOUNT
REFERENCE NUMBER
PAYMENT ITEM $3.00
NPS Convenience Fee $50.00
Misc Cash $53.00
TOTAL:
..............................................................................................
......
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
MARK W TRECO
........................ ...............................................................
.................
...................................................................................................................................... 619466
Transaction Number: 01/07/2014 15:48:09 EST
Date Processed: Credit Cazd
Transaction Type: CazdNumber: ***"********1923
VISA -Swiped 007791
Authorization: 00919905
Reference Number: $50.00
Misc Cash $50.00
Total:
cor ' o th~er agreement.
~~
I agree to pay
~~
~ /
X
// \ ~i
'- V
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
MARK W TRECO
................
................................................
....................................................
........................................................................................ 619466
Transaction Number: 01/07/2014 15:48:09 EST
Date Processed: Credit Card
Transaction Type: CazdNumber ********'***1923
VISA -Swiped 007410
Authorization: 00919902
Reference Number: $3.00
Convenience Fee
T tal• $3.00
o .
I agree to pay abo t o ccgrding t card issuer agr nt & understand this convenience fee will be chazged to allow my payment via credit card.
Signature: _
Thank You
Printed: 01/07/2014 15:48:29
https://trx.npspos.com/payapp/app?component=%24DirectLir><k&page=Receipt&service=dir... 1 /7/2014