Credit CardPage
Receipt
TRANSACTION SUMMARY TRANSACTION TYPE: SALE
REFERENCE NUMBER AMOUNT
PAYMENT ITEM $3.00
NPS Convenience Fee $29.00
Misc Cash $32.00
TOTAL:
................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4]58
STEVENJFALCO
................................................................................................................................................................................................... 401324
Transaction Number: 04/032013 08:54:48 EDT
Date Processed: Credit Card
Transaction Type: CazdNtunber ********"***1081
VISA -Swiped 640584
Authorization: 00905747
Reference Number: $29.00
Misc Cash $29.00
Total:
I agree to pay ove total am t ording the car er agreement.
~..
Signature:
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
STEVENJFALCO
.....................................................
............................................................................................................................................. ...
401324
Transaction Number: 04/03/2013 08:54:48 EDT
Date Processed: Credit Card
Transaction Type: CazdNumber: "`* * * * * `* * * 1081
VISA -Swiped 640592
Authorization: 00905748
Reference Number: $3.00
Convenience Fee/ $3.00
TotaL•
I agree t above total amount o ng the d ' a ent & understand this convenience fee will be chazged to allow my payment via credit cazd.
Signature
Thank You
Printed: 04/03/2013 08:54:54
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/3 /2013