Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT ITEM
NPS Convenience Fee
Building Dept
TOTAL:
REFERENCE NUMBER
AMOUNT
$3.68
$150.00
$153.68
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
JOHN VELEZ
Transaction Numher:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Numher:
Building Dept
Total:
213886
02/10/201209:49:27 EST
Credit Card
CardNumber: **..........4514
084928
00848048
$15000
$150.00
I agree to pay above total amount according to the card issuer a
Signature:
'-.)
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough, ME 04074
g77 -564-5656
JOHN VELEZ
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
213886
02/101201209:49:27 EST
Credit Card
CardNwnber: ......**....4514
084927
00848046
$3.68
$3.68
. be charged to allow my payment via credit card.
Printed: 02/10/2012 09:49:30
https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page= Receipt&service=d... 2/1 0/2012