Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$40.00
$41.50
..............................................................................................................................................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
TERRY S WOOTEN
MASTERCARD - Swiped
Auth #: B28084
Mise Cash
TOTAL
CardNwnber: ............4005
Ref #: 00323387
Timestamp: 06/28/2011 12:40: 13 EDT
$40.00
$40,00
Sign:
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
TERRY S WOOTEN
MASTERCARD - Swiped
Auth #: B24234
CardNwnber: ............4005
Ref#: 00323386
Timestamp: 06/28/201112:40:13 EDT
Convenience Fee
TOTAL
$1.50
$1,50
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.
Sign:iY \. ci-\~ L0 ~~ ~
0-
Transaction Nwnber: 159464
Printed: 06/28/2011 12:40:14
https://trx.npspos.comJpayapp/app?component=%24 DirectLink&page= Receipt&service=d... 6/2812011