Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$30.00
$31.50
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845.297-4158
STEVEN L MUNOZ
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Mise Cash
Total:
222900
03/08/201214:37:18 EST
Credit Card
CardNumber: **..........0075
00804Z
00353285
$30.00
530.00
I agree to pay above'4t according to the card issuer agreement.
Signature: ~ ..:;;:?' ~~ _
NPS MUNICIPA Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
STEVEN L MUNOZ
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
222900
03/0812012 14:37:18 EST
Credit Card
CardNumber: ............0075
00851Z
00353287
$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: _4 Z~~;;;___
Printed: 03/08/2012 14:37:21
https:/ /trx.npspos.comlpayapp/app?component=%24 DirectLink&page=Receipt&service=dir... 3/812012