Credit Card (4)Receipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $40.00
TOTAL: $43.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
RYAN MARRON
Transaction Number: 374906
Date Processed: 02/22/2013 09:52:08 EST
Transaction Type: Credit Cazd
VISA -Swiped CardNumber: * * * * * * * * * * * *2483
Authorization: 085209
Reference Number: 00562642
Misc Cash $40.00
Total: $40.00
I agree toe total o t c ding to the card issuer agreement
Signature
NPS MUNICIPAY CQ(QV FEE -TOWN OF WAPPINGER, NY
400 Technology Way/
Scarborough,ME 04074
877-564-5656
RYAN MARRON
Transaction Number: 374906
Date Processed: 02/22/2013 09:52:08 EST
Transaction Type: Credit Card
VISA-Swiped CazdNumber: *********"**2483
Authorization: 085209
Reference Number: 00562641
Convenience Fee $3.00
Total: $3.00
I agree to above total o co 'ng to the card issuer agreement & un this convenience fee will be charged to allow my payment via credit cazd.
Signature:
Printed:
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/22/2013