Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-0158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
REFERENCE NUMBER
RAYMOND WOOD
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay ab a tal ount according the card issuer agreement.
Signature:
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
RAYMOND WOOD
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
376008
02/25/2013 08:52:45 EST
Credit Card
CazdNumber. *rrr"'*rrr•*0899
074372
0030216]
$30.00
$30.00
376008
02/25/2013 08:52:45 EST
Credit Cazd
CazdNumber: rrrr*rrrrrrr0899
074312
00302160
Convenience Fee $3.00
Total: ~ $3.00
I agree to pay above total amount a mg to 6caz ssue>/greement & understand this convenience £ee will be chazged to allow my payment via credit card
Signature:
Printed: 02/25/2013 08:52:51
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/25/2013