Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
TOTAL:
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
................$53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FaIIs,NY 12590
845-297-4158
JOHN P REITTER JR
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Permits
Total:
I agree to ay above to unt accpr g e card issuer agreement.
Signatur : ~~ 2
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
378122
02/27/2013 14:27:47 EST
Credit Cazd
CardNumber: ++++*+++++++6125
149970
00847480
$50.00
$50.00
JOHN P REITTER JR
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authotization:
Reference Number:
Convenience Fee
TotaP
378122
02/27/2013 14:27:47 EST
Credit Card
CazdNumber: ++++++++++++6125
149969
00847478
I agree top ' above tote}' ff '' q~taccort(i to tssuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd.
Signature: // U Y `I /l
Printed: 02/27/2013 14:28:22
$3.00
$3.00
https://trx.npspos.com/payapp/app?component=showReceipt&page=R_SubDetail&service... 2/27/2013