Credit Card (3)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
BRIAN S FITZGERALD
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay abo`unt acc ard i,5suer a Bement.
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
726995
04/11/2014 16:00:03 EDT
Credit Card
CardNumber: ************3077
562623
00919094
$50.00
$50.00
BRIAN S FITZGERALD
Transaction Number;
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Co enience Fee
otal:
726995
04/11/2014 16:00:03 EDT
Credit Card
CardNumbet: ************3077
562622
00919093
$3.00
$3.00
I agree to pay ab to ount accords i~ agreement ~deestand this convenience fee will be charged to allow my payment via credit card.
Signature: G~1O--/' y~~
Thank You
Printed: 04/11/2014 16:00:08
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 11 /2014