Credit CardPage 1 of 1
Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
TOTAL:
REFERENCE NUMBER
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$20.00
$23.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
HOWARD DOXSEY
..... ........
.................................................
......................................................................................................................................... 359948
Transaction Number: 02/01/2013 10:01:41 EST
Date Processed: Credit Card
Transaction Type: CazdNumber: * ** * * * ** * * *' 8901
VISA -Swiped 04201D
Authorization: 00340805
Reference Number: $20.00
Pemtits $20.00
Total:
I agree to p`ayabov tal ount according to the card iss agree/m' ent
Signature: X. ~~~~L'.jb.dy.,~.f~-~G~
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
HOWARD DOXSEY
..........................................
......................................................................... ...
....................................................................... 359948
Transaction Number:
02/01/2013 10:01:41 EST
Date Processed: Credit Card
Transaction Type: CazdNumber: ************8901
VISA -Swiped 04204D
Authorization: 00340806
Reference Number:
$3.00
Convenience Fee $3.00
Total:
cazd '
y ab to ount according to the
a
I abRee to p gre ment & understand this convenience fee will be chazged to allow my payment via credit cazd.
er a
/
~
C ~
Signature: ~ .~ ~-
Printed: 02/01 /2013 10:01:48
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 2/ 1 /2013