Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $65.00
TOTAL: $68.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
GEORGEZASTENCHIK
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay ove total t according to the card issuer~eem
Signature: `C/CY "~/~~
NPS M IPAY CONV FEE - TOWN OF WAPPINGER,
400 Technology Way
Scarborough,ME 04074
877-564-5656
GEORGE ZASTENCHIK
380429
03/01/2013 15:08:34 EST
Credit Card
CardNumber: "**"""*""**"7056
040815
00440754
~ . $65.00
$65.00
Transaction Number: 380429
Date Processed: 03/01/2013 15:08:34 EST
Transaction Type: Credit Card
VISA-Swiped CardNumber: ************7056
Authorization: 040815
Reference Number: 00440755
Convenience Fee $3.00
Total: ~ _ -- _ _ $3.00
according to the card issuer
15:08:40
fee will be charged to allow my payment via credit card.
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 3/1 /2013