Credit Card (3)Receipt
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
STEVEN L DISBROW
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
c
I agree to pay ove t t actor ' g to and i er agreeme t.
Signa
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
STEVEN L DISBROW
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
$53.00
401017
04/02/2013 15:54:39 EDT
Credit Card
CardNumber: ***********"7055
108496
00769013
_ $50.00
$50.00
Transaction Number: 401017
Date Processed: 04/02/2013 15:54:39 EDT
Transaction Type: Credit Card
VISA -Swiped CazdNumber: ***********"7055
Authorization: 204214
Reference Number: 00769012
Convenience Fee $3.00
Total: ~ $3.00
I agree t ay ab a total riling a car is era ement d this convenience fee will be charged to allow my payment via credit card.
Signature• c
Thank You
Printed: 04/02/2013 15:55:17
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/2/2013