credit card (4)Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $50.00
TOTAL: $53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
WILLIAM H SINZER II
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree ro y above of accordi to the car issye'~eement
Signature' .>I /~ ^Ou
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
WILLIAM H SINZER II
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
519665
09/12/2013 15:03:38 EDT
Credit Card
CardNumber: ************5250
468276
00821437
$50.00
$50.00
519665
09/12/2013 15:03:38 EDT
Credit Card
CazdNumber: ************5250
468274
00821436
Convenience Fee
Total
I agree to pay above tgtal~ng6lltpccor~ing e c ~er agree understand this convenience fee will be chazged to allow my payment via credit card.
Signature: `-~
Thank Yo
Printed:0 /12/2013 15:03:47
$3.00
$3.00
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 9/ 12/2013