Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER
NPS Convenience Fee AMOUNT
Misc Cash $3.00
TOTAL: $50.00
........... $53.00
..........................
TOWN OF WAPPINGER .................................
20 Middlebush Rd
Wappingers FaIIs,NY 12590
845-297-4158
RAYMOND G KNAUSS
Transaction Number:
Date Processed: 673695
Transaction Type:
02/26/2014 09:26:41 EST
VISA -Swiped Credit Card
Authorization: CardNumber: * * * * * * * ** * * •7231
Reference Number:
014394
Misc Cash 00335858
Total: $50.00
550.00
I agree to pay above
~, t amo c
,~,-,tytmg to the card issuer agreement.
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~gnature: ~-'t' /
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MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
RAYMOND G KNAUSS
Transaction Number: ...............................................................................................................................................................................
Date Processed: 673695
02/26/2014 09:26:41 EST
Transaction Type:
VISA -Swiped Credit Cazd
CazdNumber: ************7231
Authorization:
014395
Reference Number:
Convenience Fee ~ 00335857
$3.00
Total: ~n
$3.00
I a ee to a above ro amount ~ ' ~
fs< p Y aEcordmg jp the c~stfd issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd.
,,,
rSignature: f ~. __.._...._---_
Thank You
Printed: 02/26/2014 09:26:51
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/26/2014