Loading...
Untitled Receipt Page 1 of 1 TRANSACTION SUMMARY Transaction Type: Sale Payment Item Reference tD Amount Building Dept 30087 $150.00 NPS Convenience Fee $3.68 Total: $153.68 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297 -4158 FERNANDO GONCALVES MASTERCARD - Swiped CardNumber: ************7742 Card expo date: **/** Auth #: 03238Z Ref#: 00454074 Timestamp:08/09/20 I 0 10:0 1:08 Building Dept $150.00 Total $150.00 I agree to pay above total amount according to the card issuer agreement. Signp:~ ~ :::::::::.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 FERNANDO GONCALVES MASTERCARD - Swiped CardNumber: ************7742 Card expo date: **/** Auth #: 03247Z Ref#: 00454075 Timestamp:08/09/201O 10:01 :08 ~y --- 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 :::g'd;?J~~ ________________~........._._________________________________n________________.....__...................................__________________________________________________________________________________ ........-.------------------_.__.............................-....._..-----------------------------------------------...-.................-------..--.-.-.----.--...-.-------.-.-----.--------------------- Printed: 08/09/201010:01:15 https://beta2.municipay .com: 8443/app?component=%24DirectLink&page= Receipt&service... 8/9/2010 Receipt TRANSACTION SUMMARY Transaction Type: Sale Payment Item Building Dept Reference ID Amount 30091 $150.00 $3.68 NPS Convenience Fee $153.68 Total: Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 845-297-4158 DOROTHY A VINCENZI DISCOVER - Swiped CardNumber: ************8726 Card expo date: **/** Auth #: 00905R Ref #: 00511469 Timestamp:08/09/201O 13:49:54 Building Dept $150.00 Total $150.00 above total amount ac ording to the card issuer agreement. I \ Sign: ......................................................_..........__.._.__._.._.___..._......................___.....................___............_......n...........__..____................_____.. .................................__................................................__......................_.__.................__..............................n.....__.._..n._o_........_________. "- NPS Municipay Conv Fee - Town of Wappinger, NY 400 Technology Way Scarborough, ME 04074 877-564-5656 DOROTHY A VINCENZI DISCOVER - Swiped CardNumber: ************8726 Card expo date: **/** Auth #: 00953R Ref #: 00511468 Timestamp:08/09/201O 13:49:54 Convenience Fee $3.68 Total $3.68 ~y --- I agree to pay above total amount accordin to the card issuer agreement & understand this convenience fee will be ~q~~ ad Sign: / :::::::::::::::::::::::::::::::::::::::::::::::::::: :: ::::::::::::::::::::::::::::::::::::::::'(,;:::::'.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Page 1 of 1 https://beta2.municipay.com:8443/app? component=%24 DirectLink&page= Receipt&service... 8/9/2010