Credit Card (5)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
.............................
REFERENCE NUMBER
TOWN OF WAPP[NGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
KENNETH R BEAHAN
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay ab a total amount ac ording to the card/issuer a~~)greement.
Signature: ~{'~ /5 tc~v
NPS M AY CONY FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
KENNETH R BEAHAN
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number.
Convenience Fee
Total:
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
375010
02/22/2013 11:03:36 EST
Credit Card
CazdNumber: r******r****3220
764233
00578192
$50.00
$50.00
375010
02/22/2013 11:03:36 EST
Credit Card
CazdNumber. ***********•3220
764226
00578194
$3.00
$3.00
I agree to y above total amount according to the card issuer ageement & understand this convenience fee will be charged to allow my payment via credit cazd.
Signature: /~-~WC ~"P~
Printed: 02/22/2013 11:03:42
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/22/2013