Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Permits $40.00
TOTAL: $43.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
GILBERT MERCADO
Transaction Number: 673042
Date Processed: 02/25/20]4 15:01:08 EST
Transaction Type:,, Credit Cazd
VISA -Swiped CardNumber. ************9185
Authorization: 040015
Reference Number: 00172874
permits $40.00
Total: $40.00
I e to pa a ve tdlal amount acco ding to the card i uer agreement.
\~. Signature:
MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
GILBERT MERCADO
Transaction Number: 673042
Date Processed: 02/25/2014 15:01:08 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: ************9185
Authorization: 040015
Reference Number: 00172870
Convenience Fee $3.00
Total;.-
~ $3.00
r~
I agree to pay b e tots amount ac rd t the card issuer eme t & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
' Thank You
Printed: 02/25/20 ] 4 15:01:13
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/25/2014