Credit CardReceipt
Page 1 of 1
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TRANSACTION TYPE: SALE
AMOUNT
$3.00
........................................................... $50.00
................................................................................................................................. $53.00
TOWN OF WAppINGER
0 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
MARK W MATTHEWS
T..,
Date Processed: ~• Vyl
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree o pa above total amo t according to the card ' er agreement.
Signature:
NPS MUNICIPAY CONV FEE -TOWN OF WAPPINGER, NY
400 Technology Way
Scazborough,ME 04074
877-564-5656
MARK W MATTHEWS
T..
384201
03/07/2013 11:47:05 EST
Credit Card
CardNumber: ***rrrr*rrrr5282
114512
00891868
$50.00
$50.00
Date Processed:.. Vy
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Convenience Fee
Total:
384201
03/07/2013 11:47:05 EST
Credit Card
CazdNumber: *rrrr*rrrr*r5282
114511
00891866
$3.00
I agre o y above total amo t according to the c ?a Bement & understand this convenience fee will be char ed to allow m $3.00
BT
Signatur . 8 y payment via credit card.
Printed: 03/07/2 311:47:12
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=dir... 3/7/2013