Credit Card (2)Page 1 of 1
Receipt
TRANSACTION SUMMARY TRANSACTION TYPE: SALE
REFERENCE NUMBER AMOUNT
PAYMENT ITEM $3.68
NPS Convenience Fee $150.00
Building Dept $153.68
TOTAL:
.....................................................................................................
.....
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
LUIS H MOROCHO
................ .............................................
...........................................
...................................................................................................................................... 378683
Transaction Number: 02/28/2013 10:42:04 EST
Date Processed: Credit Card
Transaction Type: CardNumber: *`**`**`**"9500
MASTERCARD -Swiped 979653
Authorization: 00530413
Reference Number: $150.00
Building Dept $150.00
Total:
I agree to pay ove total ount according to the card issuer agreement.
l~
Signature: a ~
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scarborough,ME 04074
877-564-5656
LUIS H MOROCHO
.............. ••••••••~
...............................................
........................................................................................................................................... 378683
Transaction Number: 02/28/2013 10:42:04 EST
Date Processed: Credit Card
Transaction Type: CardNumber: "'*"*`"`**`*9500
MASTERCARD -Swiped 759366
Authorization: 00530415
Reference Number: $3.68
Convenience Fee $3.68
Total:
I agree ay ve to amount according to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card
Signature:
Printed: 02/28/2013 10:42:09
https://trx.npspos.corn/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/28/2013