Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
Credit Card (3)
Kecelpt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOlJNT
SI.50
S50.00
551.50
TOWN OF WAPPINGER
20 MiddJebush Rd
Wappingers Falls,NY 12590
845-297-4158
ERICK HOLMKVIST
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Misc Cash
Total:
209193
01/27/201210:45:11 EST
Credit Card
CardNumber: ............9958
627410
00684811
S50.00
550.00
I agree to pay above total amount a
Signature:
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough, ME 04074
877-564-5656
ERICK HOLMKVIST
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
209193
01/27/201210:45:11 EST
Credit Card
CardNumber: ............9958
837121
00684813
SI.50
51.50
ment & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Printed: 01/27/2012 10:45:22
https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=d... 1/27/2012
