Credit Card (2)
!3-eceipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.59
$65.00
$66.59
..............................................................................................................................................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls.NY 12590
845-297-4158
W ALTER LAZENKA
..............................................................................................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Mise Cash
Total:
200781
12/23/201113:]8:59 EST
Credit Card
CardNwnber: *..*..**...*7692
07064Z
00618361
$65.00
$65.00
1 agree to pay above total amount according to the card issuer agreement.
Signature ~~ ~
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Techno]ogy Way
Scarborough, ME 04074
877-564-5656
W ALTER LAZENKA
.............................................................................................................................................................................................................................................,
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
20078 ]
12/23/2011 13:18:59 EST
Credit Card
CardNwnber: ***.**..****7692
07064Z
00618360
$1.59
$1.59
Signature:
t according to the card issuer agreement & understand this convenience fee will be charged to aI]ow my payment via credit card.
Printed: 12/23/2011 ]3:19:03
https://trx.npspos.comlpayapp/app ?component=%24 DirectLink&page= Receipt&service=... 12/23/2011