Credit Card (4)Receipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Permits $50.00
TOTAL: $53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
RONALD ELLIOTT
Transaction Number: 620010
Date Processed: 01/08/2014 09:58:16 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: '*""""''0192
Authorization: 010105
Reference Number: 00543005
Permits _ $50.00
Total: $50.00
I agree to pay abov otal amoun
the card i Suer greement.
~ L~
Signature:
~~/ \\\
/ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
RONALD ELLIOTT
Transaction Number: 620010
Date Processed: 01/08/2014 09:58:16 EST
Transaction Type: Credit Card
VISA -Swiped CardNtunber: *****»»****+0192
Authorization: 010119
Reference Number: 00543006
Convenience Fee $3.00
Total: $3.00
1 agree to pay Tove t~hount actor ' p ~ •eement & d this convenience fee will be charged to allow my payment via credit card.
Signature:
Thank You
Printed: 01/08/2014 09:58:23
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /8/2014