Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER
NPS Convenience Fee AMOUNT
Permits $3.00
TOTAL: $50.00
.......................................................................................................................... $53.00
.................................
TOWN OF WAPPINGER .................................
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
STEVEN R GLASSEN
..........................
Transaction Number
Date Processed: 42 ] 796
Transaction Type:
05/02/2013 09:55:44 EDT
VISA -Swiped Credit Card
Authorization:
CardNumber: ***********+6362
j
Reference Number:
034625
Permits
00804809
Total: ~
,!~
i $50.00
$50.00
agree't~pay a ve total amount accor ng [ the card je~uer agreement.
MUNICIPAY"SERVICE FED TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
STEVEN R GLASSEN
..........................
Transaction Number
Date Processed: 421796
05/02/2013 09:55:44 EDT
Transaction Type:
VISA -Swiped Credit Card
CardNumber: ************6362
Authorization:
034624
Reference Number:
00804810
Convenience Fee
Total: /,i'' , ' ~ $3.00
_ /"`~ $3.00
I agree pay above al amount acc n the c d is agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature: ~
Thank Ynn J
Printed: 05/02/2013 09:55:56
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 5/2/2013