Credit Card (2)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
..............................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
PATRICIA DIFIORE
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
agree to pa b e total amo t cc din to the card issuer agreement.
(((/' ~ Signature: ~
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
655413
02/11/2014 12:20:24 EST
Credit Card
CazdNumber:************g403
052012
00339058
$50.00
$50.00
PATRICIA DIFIORE
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
655413
02/11/2014 12:20:24 EST
Credit Card
CazdNumber: ************8403
052012
00339057
1 agree to pay total amount cc r i to the cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
.~
Signature:
Thank You
Printed: 02/11/2014 12:20:28
https://trx.iipspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d
$3.00
$3.00
2/11/2014