Credit CardReceipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER
NPS Convenience Fee AMOUNT
Misc Cash $3.00
TOTAL: $30.00
$33.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIIs,NY 12590
845-297-4158
LEROY COLEMAN
Transaction Number:
Date Processed: 373238
Transaction Type: 02/20/2013 10:16:08 EST
VISA -Swiped Credit Card
Authorization:
CardNumber. ************3878
Reference Number: 0 ] 0087
Misc Cash 00546215
Total: $30.00
$30.00
I agree to pay ve total ount according to the c issuer agreement.
Signa
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
LEROY COLEMAN
...........................
Transaction Number:
Date Processed: 373238
Transaction Type:
02/20/2013 10:16:08 EST
VISA -Swiped Credit Card
Authorization:
CardNumber:******•***••3878
Reference Number: 010057
Convenience Fee 00546211
Total: $3.00
$3.00
I agree tt`o pay above total ~ t according to the card issueynpreement+& understand this convenience fee will be charged to allow my payment via credit card
Signa~~
Printed: 02/20/2013 ]0:16:34
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/20/2013