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
$50.00
$51.50
..............................................................................................................................................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
RICHARD F KAELIN
MASTERCARD - Swiped
Auth #: 028972
Mise Cash
TOTAL
CardNumber: ............9653
Ref#: 00118897
Timestamp: 09/28/2011 11:43:32 EDT
$50,00
$50.00
Sign:
/
/
ard issuer agreement.
1 agree to pa
NPS MUNICIP A Y CONV FEE - TOWN OF W APPING ER, NY
400 Technology Way
Scarborough,ME 04074
877 -564-5656
RICHARD F KAELIN
MASTERCARD - Swiped
Auth #: 028393
CardNumber: ............9653
Ref#: 00118896
Timestamp: 09/28/201111:43:32 EDT
$1.50
Convenience Fee
TOTAL
$1.50
Sign:
r agreement & understand this convenience fee will be charged to allow my payment via credit card.
Transaction Number: 179708
Printed: 09/28/2011 11:43:34
https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=d... 9/28/2011