Credit Card (2)Receipt
TRANSACTION SUMMARY
PAYMENTiTEM
NPS Convenience Fee
Permits
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa1ls,NY 12590
845-297-4158
LEWIS G FITZGERALD
.................................
Transaction Number:
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
553.00
Date Processed: 377734
Transaction Type: 02/27/2013 10:37:50 EST
VISA -Swiped Credit Card
Authorization:
CardNumber: "*wrrwrrsr'7787
Reference Number:
113874
permits 00774951
Total: ~ $50.00
$50.00
I agree to pay abovee totTal~amount accordt~ the i er agreem
Signature: \X, (~Ut~ji/~~'a/~ () ~e-.~
NPS MUNICIPAY CONV FEE -TOWN OF WAA~INGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
LEWIS G FITZGERALD
.................................
Transaction Number:
Date Processed: 377734
Transaction Type:
02/27/2013 10:37:50 EST
VISA -Swiped Credit Card
Authorization:
CardNumber: *:'*"'**•rw7787
Reference Number:
113974
Convenience Fee 00774949
Total: $3.00
53.00
I agree to pay abov^t~~ ount according ~o, th~c~sae ~en~ understand this convenience fee will be charged to allow my payment via credit card
Signature: Z(+ ~}~fil~
Printed: 02/27/2013 10:37:57
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=d... 2/27/2013