Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $50.00
TOTAL: $53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
JULIAN GLASS
Transaction Number: 402901
Date Processed: 04/04/2013 15:58:44 EDT
Transaction Type: Credit Card
VISA -Swiped CardNumber: •"""***"***+6858
Authorization: 378050
Reference Number: 00310956
Misc Cash $50.00
Total: $50.00
I agree to p above tot ount ccording to the iss r agreement.
Signa
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
JULIAN GLASS
Transaction Number: 402901
Date Processed: 04/04/2013 15:58:44 EDT
Transaction Type: Credit Card
VISA -Swiped CardNumber: ******""""*+6858
Authorization: 369395
Reference Number: 00310958
Convenience Fee
Total: ~ ~ ~ _ $3.00
$3.00
I agree top above to amount c o/rdi to the card is agr ement & understand this convenience fee will be charged to allow my payment via credit card.
Signature: , / ~ ~ _ /~„
Thank
Printed: 04/04/2013 15:5 8:49
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/4/2013