Credit CardReceipt Page 1 of 1
TRANSACTION SUMMARY
........................................................... $53.00
............................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa1Is,NY 12590
845-297-4158
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER
NPS Convenience Fee AMOUNT
Misc Cash $3.00
TOTAL: $50.00
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
MICHAEL D FROEHLICH
Transaction Number
Misc Cash
tal: ,
1 agree t pay a tot nt accordin ewer agreement.
Signature: ~~
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
x
Date Processed:
Transaction Type:
VISA -Swiped
Authorzation:
Reference Number:
732567
04/17/2014 10:18:32 EDT
Credit Card
CardNumber: ************7095
094073
00507710
$50.00
$50.00
MICHAEL D FROEHLICH
Transaction Number ..................................................................................................................................................................................................
Convenience Fee
Total:
I agree to o ~ I o mg to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signatur
Thank You
Printed: 04/ 17/2014 10:18:37
732567
04/17/2014 10:18:32 EDT
Credit Card
CazdNumber: ************7095
094070
00507708
$3.00
$3.00
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/ 17/2014