Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Building Dept
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.68
$150.00
$153.68
JAMES F OCONNOR
Transaction Number:
Date Processed:
Transaction Type:
DISCOVER -Swiped
Authorization:
Reference Number:
Building Dept
Total:
I agree to above otal a o t according to the card issuer agreement.
Signature: `
NPS MUNICIPA CONV FEE -TOWN OF WAPPINGER, NY
400 Technology ay
Scazborough,ME 04074
877-564-5656
361664
02/04/2013 11:45:40 EST
Credit Card
CardNumber: ***"********9759
00456P
00116475
$150.00
$150.00
JAMES F OCONNOR
Transaction Number:
Date Processed:
Transaction Type:
DISCOVER -Swiped
Authorization:
Reference Number:
361664
02/04/2013 11:45:40 EST
Credit Card
CazdNumber: ************9759
00469P
00116474
Convenience Fee $3.68
Total: $3.68
I agree to pa above total unt ac rding to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Printed: 02/04/201 ];h:45:49
hops://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 2/4/2013