Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT ITEM
Mise Cash
NPS Convenience Fee
TOTAL:
REFERENCE NUMBER
AMOUNT
$10.00
$1.50
$11.50
...............................................................................................11............................................................................................................................................,
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls.NY 12590
845.297-4158
BARBARA EARLES VROOMAN
MASTERCARD - Swiped
Auth #: 01041Z
Mise Cash
TOTAL
CardNwnber: ............1810
Ref#: 00139936
Timestamp: 01/31/2011 15:21:17 EST
$10.00
$]0.00
I ~gree Xay 7X=ding to the card issuer ~gr,ment.
SIgn: ~ V~
'J'
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER. NY
400 Technology Way Scarborough, ME 04074
877-564-5656
BARBARA EARLES VROOMAN
MASTERCARD - Swiped
Auth #: 01036Z
CardNumber: ............1810
Ref#: 00139939
Timestamp: 01/311201115:21:17 EST
$1.50
$1.50
Convenience Fee
TOTAL
1 agree tox. above total amount according to the card issuer agre~mJnt & understand this convenience fee will be charged to allow my payment via credit card.
Sign: Lf~ ~ I/~
/ 7
Pri.rted: 01/311201115:21:33
https:/ Itrx,npspos.com/payapp/app?cornponent=%24DirectLink&page=Receipt&service=d.., 1/31/2011