credit card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
Transaction Type: Sale
Payment Item
Reference ID
Amount
Building Dept
$150.00
NPS Convenience Fee
$3.68
Total:
$153.68
Town of Wappinger
20 Middlebush Rd
Wappingers Falls, NY ]2590
845-297-4]58
WILLIAM SCHUCK
MASTERCARD - Swiped
CardNumber: ************9828
Card expo date: **/**
Auth #: 50423Z
Ref#: 00562393
Timestamp:07 /19/20] 0 13 :44:39
Building Dept $150.00
Total $150.00
I agree to pay above total amount according to the card issuer agreement.
Sign: ~{21~ <; J!v/L-
NPS Municipay Conv Fee - Town of Wappinger, NY
400 Technology Way
Scarborough, ME 04074
877-564-5656
WILLIAM SCHUCK
MASTERCARD - Swiped
CardNumber: ************9828
Card expo date: **/**
Auth #: 50840Z
Ref#: 00562395
Timestamp:07/19/201O 13:44:40
~:{:.r
~
~*""--
Convenience Fee $3.68
Total
$3.68
I agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be
charged to allow my payment via credit card.
t;J~ )~
Sign:
Printed: 07/19/2010 13:44:47
https:/lbeta2.municipay .com:8443/app?component=%24 DirectLink&page=Receipt&servic... 7/19/2010