Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Building Dept
T(1TA1
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
WappingersFalls,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$6.13
$250.00
$256.13
LANFORDJOLLY
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Building Dept,
Total:
I agree to pa bove tal t a ding to~tlte.G9iclisaw Bement.
.,
Signatur
MUNIC AY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
445145
06/04/2013 09:15:20 EDT
Credit Card
CardNumber. ************9465
056463
00113157
$250.00
$250.00
LANFORDJOLLY
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
445]45
06/04/2013 09:15:20 EDT
Credit Card
CardNumber: ************9465
056448
00113158
Convenience Fee
Total:
I agree to pay bove total ount accordin o the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Thank ou
Printed: 04/2013 09:15:26
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir
$6.13
$6.13
6/4/2013