Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
TAT A 1 .
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
MICHAEL L HARDJA
................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Permits
Total:
I a to pay a ov Itotal amount ac_cor~ding to the car/d~ issuer agr ent.
L~-~
Signatur '
ICIPA *SERVICE FEE TOWN OF WAPPINGER
400 Tec v?ogy Way
Scarborough,ME 04074
877-564-5656
$30.00
$30.00
MICHAEL L HARDJA
...............................................
..................................................................................................................... ................
713786
Transaction Number:
04/01/2014 11:33:36 EDT
Date Processed: Credit Cazd
Transaction Type: CazdNumber: ********"***8693
MASTERCARD -Swiped 687212
Authorization:
00825910
Reference Number:
$3.00
Convenience Fee $3.00
Total:
I agree to pay abo oust according to the card issuer agreement & enders nd this conveni~ee will be charged to allow my payment via credit cazd.
_..~.. tic' --
.,.e....._.
Th Yo
Printed: / /201411:33:48
713786
04/01/2014 11:33:36 EDT
Credit Card
CardNumber: ************8693
685542
00825908
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/1 /2014