Credit Card (2)
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: VOID
PAYMENT ITEM
NPS Convenience Fee
Mise Cash
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$50.00
$51.50
..............................................................................................................................................................................................................................................
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 Numher:
Mise Cash
Total:
222879
03/08/2012 14:36:53 EST
Credit Card
CardNumber: ............0075
00353138
$~O.OO
550.00
I agree to pay above tO~~din~o the card issuer agreement.
Slgnature:~?t. ~~
NPS MUNICIP A Y CONV 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:
222879
03/08/2012 14:36:53 EST
Credit Card
CardNumber: ............0075
00353135
$1.50
51.50
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: 03/08/2012 14:36:55
https:/ /trx.npspos.com/payapp/app?component=%24 DirectLink&page=Receipt&service=dir... 3/8/2012