Credit Card (3)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIIs,NY ]2590
845-297-0158
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
JEFFREY D MILLER
Transaction Number:
633251
Date Processed: 01/22/2014 10:10:38 EST
Transaction Type: Credit Card
MASTERCARD-Swiped CardNumber: ************6519
Authorization: 626935
Reference Number: 00434366
Misc Cash $50.00
Total: $50.00
I agree to pay above to unt accord the d iss eement.
Signature:
MUNICIPAY"SERVI E FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
JEFFREY D MILLER
Transaction Number: 633251
Date Processed: 01/22/2014 10:10:38 EST
Transaction Type: Credit Card
MASTERCARD -Swiped CazdNumber. ************6519
Authorization: 628805
Reference Number: 00434368
Convenience Fee $3 ~00
Total: $3.00
I agree to pay above to 1 nt accordi to the c d issu eement & understand this convenience fee will be chazged to allow my payment via credit cazd.
Signature:
Thank You
Printed: 01/22/2014 ]0:]0:47
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /22/2014