Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $50.00
TOTAL: $53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
ANDREA TROSIE
Transaction Number: 354035
Date Processed: 01/23/2013 14:47:59 EST
Transaction Type: Credit Card
VISA -Swiped CazdNumber: * * * * ** * * * *""5019
Authorization: 202513
Reference Number: 00376893
Misc Cash $50.00
Total: $50.00
I agree to pay a veto oust ac ding to the suer agreement. .
Signature:
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
ANDREA TROSIE
Transaction Number: 354035
Date Processed: 01/23/2013 14:47:59 EST
Transaction Type: Credit Cazd
VISA -Swiped CazdNumber: *s*s****-***5019
Authorization: 096678
Reference Number: 00376892
Convenience Fee $3.00
Total: 53.00
I agree to above total oun accordin to the card iss a~eement & understand this convenience fee will be chazged to allow my payment via credit card.
14:48:08
hops://t~.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /23/2013