Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
................ 533.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIIs,NY 12590
845-297-4158
GEOFFREY CORBIN
Transaction Number: ................................................................................. .................................................................................................
Date Processed: 705461
Transaction Type: 03/25/2014 11:31:18 EDT
VISA-Swiped Credit Cazd
Authorization: CazdNumber: ************1366
Reference Number:
03623B
00883019
Misc Cash
Total: $30.00
$30.00
!
'~ agree to pay a total amo t according to cazd issu r agre`ment.
~~~
'
~
\ Signature: ~/a '/
~
MUNICIPAY*SERVICE FEE TOWN OF W APPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
GEOFFREY CORBIN
Transaction Number:
Date Processed: 705461
Transaction Type: 03/25/2014 11:31:18 EDT
VISA-Swiped Credit Card
Authorization: CardNumber: ************]366
Reference Number:
03610B
00883018
Convenience Fee
Total: $3.00
$3.00
I a o pay above total amo according to azd issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd.
Signature: ~ Y
Thank You
Printed: 03/25/2014 11:31:23
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt& service=d... 3/25/2014