Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
TOTAL:
REFERENCE NUMBER
TOWN OF V1'APPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
JEFFREY S COOPER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$40.00
543.00
Transaction Number: 383633
Date Processed: 03/06/2013 14:42:20 EST
Transaction Type: Credit Card
VISA-Swiped CazdNumber: ************3701
Authorization: 622045
Reference Number: 00699631
Permits $40.00
Total: $40.00
I agree to pay abov ount acco m to the cazd issuer agreement.
Signature:
NPS MUNICIPAY CONV FEE -TOW OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
JEFFREY S COOPER
Transaction Number: 383633
Date Processed: 03/06/2013 14:42:20 EST
Transaction Type: Credit Card
VISA-Swiped CazdNumber: *"**********3701
Authorization: 622039
Reference Number: 00699630
Convenience Fee $3.00
Total: $3.00
I agree to pay abov amount ac rding to the cazd issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd
Signature:
Panted: 03/06/2013 1 :2
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 3/6/2013