Credit Card (2)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
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
$15.00
$30.00
$48.00
TODD R MIKUS
Transaction Number:
Dale Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Permits
Misc Cash
Total:
I agree to pay a tal o ac ng to the c d issuer a Bement.
Signature:
MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
633219
01/22/2014 09:56:!5 EST
Credit Card
CardNumber:*********+**4913
031303
00432378
$15.00
$30.00
$45.00
TODD R MIKUS
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
533219
01/22/2014 09:56:15 EST
Credit Card
CardNumber:************4913
031330
00432380
Convenience Fee $3.00
Total: $3.00
j I agree to pay otal o t c rdi o e card i uer agree n[ & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Thank You
Printed: 01/22/20]4 09:56:22
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /22/2014