Credit Card (3)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
........................................................................................................................................................... $53.00
..............................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaI1s,NY 12590
845-297.4158
TONY Y CHEW
ransactton Number:
Date Processed: 752023
Transaction Type: 05/02/2014 11:28:34 EDT
VISA • Swiped Credit Card
Authorization:
CazdNumber: +assss*ssa4928
Reference Number:
025825
Miac Cash 00886213
Total: $50.00
$50.00
1 agree to pay above total ount acco ding to a card issuer a
Signature: ___ /~ /)(A ~ ~ ~Q ~.
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
TONY Y CHEW
Transaction Number: ............................................. ................................................................................................................................
Date Processed: 752023
Transaction Type:
05/02/2014 11:28:34 EDT
VISA -Swiped Credit Card
Authorization:
CazdNumber: sss"ssssssss4928
Reference Number:
025864
Convenience Fee 00886211
Toml: $3.00
$3.00
I agree to pay above total~ptipunt accor 'n to the d ss r agreement & un e d this convenience fee will be charged to allow my payment via credit cazd
Signatwe: U ~ .
Thank You
Printed: 05/02/2014 11:2 8:39
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/2/2014