Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Permits $30.00
TOTAL: 533.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
CHARLES N MARCH
Transaction Number: 367181
Date Processed: 02/11/2013 15:48:06 EST
Transaction Type: Credit Card
VISA -Swiped CardNumber: "rrrr•rrrrrr6843
Authorization: 717079
Reference Number. 00849110
$30.00
Permits
TotaL• $30.00
al amount according0to the card issuer agreement.
ot
I agree to pa b e t
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signature: / f~n~-~+
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
CHARLES N MARCH
Transaction Number: 367181
Date Processed: 02/11/2013 15:48:06 EST
Transaction Type: Credit Card
CardNumber sr-rrrrsrrrr6843
VISA -Swiped
Authorization: 717080
Reference Number: 00849111
Convenience Fee $3.00
Total: 53.00
ount according to card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
am
I agree to pay above t~1
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o
Signature: ~ N V 1 ~
Printed: 02/ 11/2013 15:48:12
https://trx.npspos.com/payapplapp?component=%24DirectLink&page=Receipt&service=d... 2/11 /2013