Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
JEANINE M PALMATIER
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Permits
Total:
I agree to pay above tal amount according to the ss er gree n ,
Signature:
GAL ~~
MUNI "SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
688050
03/10/2014 09:24:00 EDT
Credit Card
CardNumber: *t****t*"*tr8337
257171
00696479
. $30.00
$30.00
JEANINE M PALMATIER
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
688050
03/10/2014 09:24:00 EDT
Credit Card
CardNumber:************8337
257170
00696478
Convenience Fee
Totsl:
I agree to pay v otal amount ao(rdiang [o th rs e eme~ un this convenience fee will be charged to allow my payment via credit card.
Signatwe: ~~~ "* ~~~
~ }
Thank oti
Printed: 03/10/2014 09:24:10
$3.00
$3.00
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/ 10/2014