credit card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT 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
ANNM SANTA
MASTERCARD - Swiped
Auth #: 093883
Mise Cash
TOTAL
CardNumber: ............8981
Ref#: 00719714
Timestamp: 08/04/2011 08:40:02 EDT
$40.00
$40,00
Sign:
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough, ME 04074
877 -564-5656
ANN M SANTA
MASTERCARD - Swiped
Auth #: 095273
CardNumber: ............8981
Ref#: 00719715
Timestamp: 08/04/2011 08:40:02 EDT
Convenience Fee
TOTAL
$1.50
Sign:
l $1.50
/
~; er agreement & understand this convenience fee will be charged to allow my payment via credit card.
Transaction Number: 167770
Printed: 08/04/20 II 08:40:03
https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=dir... 8/4/2011