Credit Card (6)Receipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $30.00
TOTAL: $33.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
ANNA EDEL
Transaction Number: 633767
Date Processed: 01/22/2014 13:55:37 EST
Transaction Type: Credit Cazd
VISA -Swiped CazdNumber: * * * ** * * * * * * * 8158
Authorization: 06175B
Reference Number: 00491873
Misc Cash $30.00
Total: $30.00
I agree to pay above total amount according to the cazd issuer agreement.
Signature:
MU C A "SERVICE FE W9C OF
400 Technology Way
Scazborough,ME 04074
877-564-5656
ANNA EDEL
Transaction Number: 633767
Date Processed: 01/22/2014 13:55:37 EST
Transaction Type: Credit Cazd
VISA-Swiped CazdNumber: ************8158
Authorization: 06167B
Reference Number: 00491872
Convenience Fee $3.00
Total: $3.00
I agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd
~\ / Signatur
/x~ Th Y~ ~-
ted: 01 /22 /2014 13:5 5:42
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /22/2014