Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Petmits
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$15.00
$18.00
CHRISTOPHER B CIULLA
Transaction Nutnber:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Permits
Total:
I agree to pa amount according t issuer ogre ent.
Signa
MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
CHRISTOPHER B CIULLA
507429
08/28/2013 09:19:57 EDT
Credit Card
CazdNumber: ************5695
124645
00695702
$15.00
$15.00
Transaction Number: 507429
Date Processed: 08/28/2013 09:19:57 EDT
Transaction Type: Credit Cazd
VISA-Swiped CazdNumber: ************5695
Authorization: 124646
Reference Number: 00695700
Convenience Fee
Total:
I agree to pay~b a total amo t ac~ng to the c d issuer agree t & ygderstand th~gnvenience fee will be charged to allow my payment via credit card.
Signatw
Thank Y
Printed: /2013 09:20:04
$3.00
$3.00
https://trx.npspo s.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 8/28/2013