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
$20.00
$2 L50
.............................................................................................................................................................................................................................................,
TOWN OF WAPPINGER
20 MiddJehush Rd
Wappingers Falls,NY 12590
845-297-4158
JOSEPH G PATTI
.............................................................................................................................................................................................................................................,
Transaction Nwnher:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference N urn ber:
Mise Cash
Total:
313993
10/31/2012 10:23:04 EDT
Credit Card
CardNumber: ************8347
H93923
00446335
$2000
$20.00
Signature:
I agree to pay abo e total amount according to the card issuer agreement.
~
I"
NPS MUNICIPA Y CON V FEE - TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough, ME 04074
877-564-5656
JOSEPH G PATTI
..............................................................................................................................................................................................................................................
Transaction Numher:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Numher:
Convenience Fee
Total:
313993
10/311201210:23:04 EDT
Credit Card
CardNumber: ************8347
H92073
00446337
$1.50
$1,50
I agree to pay above t tal amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
S.(1, 4;2n. .
Ignature: '1 UJ;:lJ<'V\ ,
Printed: 10/31/2012 10:23:14
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/31/2012