Credit Card (4)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIIs,NY 12590
845-297-4158
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
LAWRENCE A PERCIVAL
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
agree to pay above total amount according to the card iss agreement.
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
624467
01/13/2014 12:23:33 EST
Credit Cazd
CazdNumber: "*"****"**"'3232
R5764B
00291570
$30.00
$30.00
LAWRENCE A PERCIVAL
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Nwnber:
Convenience Fee
Total:
624467
01/13/2014 12:23:33 EST
Credit Card
CardNumber. srrrrrww*•s*3232
R5762B
00291568
$3.00
$3.00
1 a e to pay ab~~o total a~~moppun~~t according to th/e card issuer agreement & unde land this convenience fee will be chazged to allow my payment via credit card.
Signature: // y ~'~'Uy~`~~ ~ "~ ~""1'~~~~
Thank You
Printed: Ol /13/20 ] 4 12:23:41
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /13/2014