Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa1ls,NY 12590
845-297.4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$65.00
$68.00
DWIGHT HAMILTON
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash ,
Total:
I agree to pay ove total ount according to the card issuer agreement
Signamre:
MUNIZIPAY'~SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
414515
04/23/2013 13:05:59 EDT
Credit Card
CazdNumber: ******"***•*6057
087193
00374836
$65.00
$65.00
DWIGHT HAMILTON
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Ntunber:
414515
04/23/2013 13:05:59 EDT
Credit Cazd
CazdNumber: ************6057
087192
00374835
Convenience Fe $3.00
Total: $3.00
I agree above total amount according to the cazd issuer agreement & unde rand this convenience fee will be charged to allow my payment via credit card.
Signature:
Thank Yo
Printed: 04/23/2013 13:06:06
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 4/23 /2013