Credit Card (2)
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM
NPS Convenience Fee
Building Dept
TOTAL:
REFERENCE NUMBER
AMOUNT
$3.68
$150.00
$153.68
..............................................................................................................................................................................................................................................
TOWN OF W APPlNGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
STEPHEN E FISCHER
.............................................................................................................................................................................................................................................,
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Building Dept
Total:
284597
08/22/2012 12:06: 12 EDT
Credit Card
CardNumber: ............8150
25034Z
00190171
$150.00
$150.00
I agr~: to pay OZal arnoWlt according to the card issuer agreement.
SignatUre. 2... ~
, ,
NPS MUNICIP A Y CONY FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
STEPHEN E FISCHER
..............................................................................................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
284597
08/22/201212:06:12 EDT
Credit Card
CardNumber: ............8150
24992Z
00190170
$3.68
$3.68
to the card issuer agreement & Wlderstand this convenience fee will be charged to allow my payment via credit card.
Printed: 08/22/2012 12:06:22
https://trx.npspos.com/payapp/app ?component=%24 DirectLink&page=Recei pt&service=d... 8/22/2012