Credit CardReceipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee
$3.00
Permits
$50.00
TOTAL:
$53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
ARMANDO NAVA
Transaction Number
Date Processed: 370912
02/15/2013 15:02:02 EST
Transaction Type:
VISA-Swiped Credit Card
*s****.rr***
CazdNumber: 7132
Authorization:
Reference Number: 574317
00923437
Permits
Total: - $50.00
$50.00
i
I agree to pay~above tot~accor a cazd issuer agreem t.
Signatur . Q~_
NPS MUNICIPAY CONY FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
ARMANDO NAVA
Transaction Number:
Date Processed: 370912
02/15/2013 15:02:02 EST
Transaction Type:
VISA -Swiped Credit Card
CazdNumber: ************7132
Authotization:
Reference Number: 574318
00923439
Convenience Fee
$3.00
Total:
$3.00
I agree top above total amoun cording to the c d issuer agreement & derstand this convenience fee will be chazged to allow my payment via credit card.
Signatur . ~'UZ--
Printed: 02/15/2013 15:02:10
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/ 15/2013