Credit Card (4)Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $50.00
TOTAL: $53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
REID M NOBLES
Transaction Number:
633294
Date Processed: 01/22/2014 10:39:56 EST
Transaction Type: Credit Card
VISA-Swiped CardNumber: ************3283
Authorization: 026278
Reference Number: 00438736
Misc Cash $50.00
Total:
$50.00
I agree to pay above total unt accord/ing to the card issuer agreement.
Signature: G~~
MUNICIPAY*SERViCE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
REID M NOBLES
Transaction Nwnber: 633294
Date Processed: 01/22/2014 10:39:56 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: ************3283
Authorization: 026277
Reference Nwnber: 00438734
Convenience Fee $3.00
TotaL• $3.00
' 1 agree to pay above total amo
~ the
t according~to
cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
~ ~ Signature: i
'
~/~!/v'~ .
Thank You
Printed: O1 /22/2014 10:40:06
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /22/2014