Credit CardReceipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee
Misc Cash $3.00
TOTAL:
$30.00
$33.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
DENNIS LEAHY
...............................................................................................................................................................
Transaction Number ..................................................................
Date Processed: 637905
Transaction Type: 01/27/2014 11:30:23 EST
VISA-Swiped Credit Cazd
Authorization: CazdNumber: ************3569
Reference Number:
00729C
00641250
Misc Cash
Total: ~ $30.00
$30.00
I agree to pay e t t according to the card agreement.
Signature:
MUNICIPAY*S RVICE FEE OWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
DENNIS LEAHY
Transaction Number:
Date Processed: 637905
Transaction Type: 01/27/2014 11:30:23 EST
VISA-Swiped Credit Card
Authorization: CazdNumber: ********+***3569
Reference Number:
00737C
00641252
Convenience Fee
Total: $3.00
$3.00
I agree to pay abo tal amo t ac ing to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd.
Signature:
Thank You
Printed: O1/27/2014 11:30:31
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /27/2014