Credit Card (3)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$20.00
$23.00
REFERENCE NUMBER
BETHANY M MELIN
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree top ab~total
375339
02/22/2013 15:06:52 EST
Credit Cazd
CardNumber: *******»****6033
852045
006766]7
$20.00
$20.00
accorl!din//g to,' the~card issuer agreement.
"C.~
NrP9~iQIf~IPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
BETHANY M MELIN
Transaction Number: 375339
Date Processed: 02/22/2013 15:06:52 EST
Transaction Type: Credit Cazd
VISA-Swiped CazdNumber: ************6033
Authorization: 852047
Reference Number: 00676613
Convenience Fee $3.00
/
Total: 53.00
I agr o pay a ve total amount according to the cazd issuer agreement & understand this convenience fee will be charged to allow my payment via credit card
Signature: `
Prin 2/2013 15:06:59
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/22/2013