Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT ITEM
NPS Convenience Fee
Building Dept
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$50.00
$51.50
.............................................................................................................................................................................................................................................,
TOWN OF WAPPINGER
20 MiddJebush Rd
Wappingers Falls,NY 12590
845-297-4158
RONATAHALL
..............................................................................................................................................................................................................................................
Transaction Numher:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Building Dept.
Total:
207312
01/1912012 15:42:59 EST
Credit Card
CardNumber: ............5884
835715
00104260
$50.00
550.00
Signature:
i
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
RONA T A HALL
..............................................................................................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
I agree to pay a
207312
01/19/2012 15:42:59 EST
Credit Card
CardNumber: ............5884
835729
00104261
$1.50
51,50
card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Printed: 01/19/201215:43:03
https://trx..npspos.comlpayapp/app ?component=%24 DirectLink&page= Receipt&service=d.,. 1/19/2012