Credit CardReceipt
TRANSACTION SUMMARY
PAYMENTITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOV1'N OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4]58
ROBERT DAVID
..........................
Transaction Number
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$50.00
553.00
Date Processed: 506793
Transaction Type:
08/27/2013 11:49:17 EDT
VISA -Swiped Credit Cazd
Authorization:
CardNumber ************9405
Reference Number:
084911
Misc Cash 00467386
Total: $50.00
$50.00
I agree to pay ab a to oant o to the agreement.
Signatur
MUNICIPAY~*SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
ROBERT DAVID
..........................
Transaction Number
Date Processed: 506793
08/27!2013 11:49:17 EDT
Transaction Type:
VISA -Swiped Credit Cazd
CazdNumber: ************9405
Authorization:
Reference Number: 084911
Convenience Fee 00467387
Total: $3.00
$3.00
I agree to pay a ve to oant or the d iss Bement & understand this convenience fee will be chazged to allow my payment via credit card.
Sign e:
11:49:25
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 8/27/2013