Credit CardReceipt
Page 1 of 1
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Building Dept
TOTAL:
TRANSACTION TYPE: SALE
REFERENCE NUMBER
AMOUNT
$3.00
$50.00
........................................................................................ $53.00
..................................................................................................................
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fal1s,NY 12590
845-297-4158
RALPH NARCISO
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Building Dept `„!
Total:
I agree to pay ve to oust c ding to the c ss agreement.
Signatur .
MUNICIPAY"SERVICE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
488358
08/02/2013 08:47:26 EDT
Credit Card
CazdNumber: ++++++*+r+++8203
01832D
00513901
$50.00
$50.00
RALPH NARCISO
Transaction Number: ....................................................................................................................................................................................................
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
488358
08/02/2013 08:47:26 EDT
Credit Card
CardNumber: ++*++**+++++g203
01833D
Convenience Fee ~.-"" ~ 00513902
Total: $3.00
$3.00
I agree to pay above total ac ding the c s r agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signature: (~
Thank You
Printed: 08/02/2013 08:47:31
https://trx.npspos.comlpayapp/app?component=%24DirectLink&page=Receipt&service=dir... 8/2/2013