Credit Card (3)
Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PA YMENT ITEM
NPS Convenience Fee
Misc Cash
TOT AI.:
REFERENCE NUMBER
AMOUNT
$1.50
$40.00
$41.50
..............................................................................................................................................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
NICOLE HENNE
..............................................................................................................................................................................................................................................
Transaction Nwnber:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Misc Cash
Total:
322699
11/19/201209:49:11 EST
Credit Card
CardNumber: ************2711
07381Z
00582988
$40.00
$40,00
Signature:
NPS MIJNIClPAY CON V FEE - TOWN OF WAPPINGER. NY
400 Technology Way
Scarborough, ME 04074
877-564-5656
NICOLE HENNE
..............................................................................................................................................................................................................................................
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD - Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
322699
11/19/201209:49:11 EST
Credit Card
CardNwnber: ******...***2711
07381 Z
00582989
$1.50
$1.50
I agree to pay above total amount acco ing to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Sib'llature: ,'1
Printed: 11/19/201209:49:20
https:/ /trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 11/19/2012