Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Permits
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$65.00
$68.00
TOTAL.
.............................................................................................................................................................
TOWN OF WAPPINGER
20 Middlebusb Rd
Wappingers Fal1s,NY 12590
845-297-4158
BRIAN ALEXANDER
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Permits
Total:
I agree to pay abo o according t d i suer agreement.
Signatwe:
MU AY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
470304
07/09/2013 13:58:12 EDT
Credit Card
CardNumber: `**"`*"`**0353
207150
00938637
$65.00
$65.00
BRIAN ALEXANDER
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
470304
07/09/2013 13:58:12 EDT
Credit Card
CardNtunber: *`****"**""0353
207169
00938639
Convenience Fee
TotaL•
I agree to pay abov to al o ccording t and is er agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature:
Thank You
Printed: 07/09/2013 13:5 8:20
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=dir
$3.00
$3.00
7/9/2013