Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
DARENEANDREW
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay a ve o ac ing to the cazd issuer agreement
Signature: ~
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$15.00
$18.00
367966
02/12/2013 14:38:21 EST
Credit Card
CazdNumber: •••*•••••*••5358
04534G
00556233
$15.00
$15.00
DARENE ANDREW
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
367966
02/12/2013 14:38:21 EST
Credit Cazd
CazdNumber: ************5358
04534G
00556232
Convenience Fee $3.00
Total: $3.00
1 agree to pay ov ota a opn~acco~ to the ~grd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signatur
Prin /12/2013 14:38
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/12/2013