Credit Card (3)Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Permits $50.00
TOTAL: $53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
JAY E WHITE
Transaction Number: 423326
Date Processed: 05/03/2013 15:11:48 EDT
Transaction Type: Credit Cazd
VISA-Swiped CardNumber: """""'arssrs4562
Authorization: 015160
Reference Number: 00256544
Permits $50.00
Total: $50.00
I agre o pa ove total amount actor ' to the cord i `ue greement.
Signa e: G4 lW,q
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
JAY E WHITE
Transaction Number: 423326
Date Processed: 05/03/2013 15:11:48 EDT
Transaction Type: Credit Card
VISA -Swiped CazdNumber: *"""""*"""""4562
Authorization: 015150
Reference Number: 00256545
Convenience Fee ~ $3.00
Total: $3.00
I agree to pay abo~otal amount according to the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd.
Th You ~~
Printed: 15:11:54
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/3 /2013