Credit Card (2)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIIs,NY 12590
845-297-4158
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
DANIEL P EVERTTS
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Misc Cash _
Total _ _
i
I agree to pay ove amount rding the d is uer agre m
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
744615
04/28/2014 13:59:20 EDT
Credit Card
CardNumber: ************2018
02842B
00761479
$50.00
$50.00
DANIEL P EVERTTS
Transaction Number.
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
744615
04/28/2014 13:59:20 EDT
Credit Card
CardNumber: ********"**2018
02842B
00761478
Convenience Fee $3.00
Total: $3.00
I agree to pay abov tal un--tnnaccordin the c 'sue emen & d 'convenience fee will be charged to allow my payment via credit card.
ryl~
Signature.
Thank You
Printed: 04/28/2014 13:59:36
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/28/2014