Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$40.00
$41.50
..............................................................................................................................................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIls,NY 12590
845-297-4158
BRIAN C EDGE
..............................................................................................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Mise Cash
Total:
218684
02/24/201215:15:30 EST
Credit Card
CardNumber: "''''''''''''''''***'''*'''7536
R4381Z
00287972
$40.00
$40.00
Signature:
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough, ME 04074
877-564-5656
BRIAN C EDGE
.............................................................................................................................................................................................................................................,
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
218684
02/241201215:15:30 EST
Credit Card
CardNumber: *****.*****.7536
R4384Z
00287978
$1.50
$1.50
I agree to pay above total amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Printed: 02/2412012 15: 15 :35
https://trx.npspos.com/payapp/ app?component=%24 DirectLink&page= Receipt&service=d... 2/24/2012