credit cardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
CHARLESNADELL
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Permits
Total:
I agree to pay ab ve total am t according/~J~o/th~e car/d i~ss~uer~agreement.
Signature ~ ,,t.i/ / / ~c-4(~(
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
347661
01/11/2013 13:13:46 EST
Credit Card
CazdNumber. ************7518
525793
00642122
$30.00
$30.00
CHARLESNADELL
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
347661
01/11/2013 13:13:46 EST
Credit Card
CardNumber: ***********•7518
527672
00642123
$3.00
$3.00
I agree to pay above to tltrt according to a cazd teement & understand this convenience fee will be charged to allow my payment via ccedit card.
Signaturex.
Pri nted: O 1 / 1 I /2013 13:13:54
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /11 /2013