Credit Card (2)Receipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers FalIs,NY 12590
845-297-4158
HENRY N LONGKUTOY
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$65.00
$68.00
Transaction Number: 400918
Date Processed: 04/02/2013 14:59:54 EDT
Transaction Type: Credit Card
VISA -Swiped CardNumber: ******'*""4821
Authorization: 220568
Reference Number: 00749132
Misc Cash $65.00
Total; $65.00
I agree to ay abov total o rding to the card ~ r agreement.
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
HENRY N LONGKUTOY
Transaction Number: 400918
Date Processed: 04/02/2013 14:59:54 EDT
Transaction Type: Credit Card
VISA-Swiped CazdNumber: **********''4821
Authorization: 220569
Reference Number: 00749134
Convenience Fee $3.00
Total: $3.00
I agree to pay ab a total ~ ing to the card issu agreement & understand this convenience fee will be charged to allow my payment via credit cazd
Signature ~
Thank You
Printed: 04/02/2013 15:00:08
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/2/2013