Credit Card
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Permits
TOTAL:
REFERENCE NUMBER
AMOUNT
$1.50
$50.00
$51.50
..............................................................................................................................................................................................................................................
TOWN OF W APPlNGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845.297-4158
DOUGLAS J WILLIAMS
..............................................................................................................................................................................................................................................
Transaction Number;
Date Processed;
Transaction Type;
MASTERCARD. Swiped
Authorizati n:
Referenc N ber-
Permits
Total:
232394
04/11/201210:30;52 EDT
Credit Card
CardNumber: ............7676
093055
00789173
$50.00
$50.00
y to amount according to the card issuer agreement.
NPS MUNICIPA Y CONV FEE - TOWN OF W APPlNGER, NY
400 Technology Way
Scarborough,ME 04074
877.564.5656
DOUGLAS J WILLIAMS
.......................................................................................................11.............................................11......................................................................................
Transaction Number:
Date Processed;
Transaction Type:
MASTERCARD. Swiped
Authorization:
Referenc
232394
04/11/201210:30:52 EDT
Credit Card
CardNumber: ............7676
093055
00789175
$1.50
$1.50
I agree to y
amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature
Printed: 04/ll/20 12 10:30:57
https:/ /trx.npspos.comlpayapp/app?component=%24 DirectLink.&page=Receipt&service=d... 4/11/2012