Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
JEFFREY D MILLER
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay above o~ unt ac~ ng to the er agreement
Signature: I'1/ji!
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
393904
03/22/2013 08:57:33 EDT
Credit Cazd
CazdNumber:***********'6519
648460
00803100
$50.00
$50.00
JEFFREY D MILLER
Transaction Number:
Date Processed:
Transaction Type:
MASTERCARD -Swiped
Authorization:
Reference Number:
Convenience Fee
Total
393904
03/22/2013 08:57:33 EDT
Credit Card
CardNumber: ********++*+6519
650487
00803101
$3.00
$3.00
T agree to pay ab v t al amour ac ording to th issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd.
Signature:
Thank You
Printed: 03/22/2013 08:57:52
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/22/2013