Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-0158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
VALENTINEJDALBRO
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Misc Cash
Total: r
I agree to pay ab tgtal~itount c~ to th ~ er agreemen
Signature: G,(,"J~, /(i~
MUNICIPAY•SERVICE FEE TOW F WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
636451
01/24/2014 15:06:08 EST
Credit Cazd
CazdNumber: ***'********8738
024462
00518371
$30.00
$30.00
VALENTINEJDALBRO
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Convenience Fee
Total•
636451
01/24/2014 15:06:08 EST
Credit Card
CazdNumber: *"**********8738
024462
00518370
I agree to pay bov o amoan ding to the d issuer a nfen & s d this convenience fee will be chazged to allow my payment via credit card.
Signature:
Thank You
Printed: 01 /24/2014 15:06:16
$3.00
$3.00
https://ttx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /24/2014