Credit Card (3)Receipt
Page 1 of 1
TRANSACTION SUMMARY
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $6.13
Building Dept $250.00
TOTAL: $256.13
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
ERIN ELIZABETH GALUCCI
Transaction Number: 522205
Date Processed: 09/16/2013 15:56:58 EDT
Transaction Type: Credit Card
VISA -Swiped CazdNumber: * * * * * * ** *** *9348
Authorization: 055682
Reference Number: 00936200
Building Dept r.-~`""'1 $250.00
Total:
$250.00
I agree to pay v o ~ginoun according to a 'ss er ement. 1
Signature: ~ ~
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
ERIN ELIZABETH GALUCCI
Transaction Number: 522205
Date Processed: 09/16/2013 15:56:58 EDT
Transaction Type: Credit Card
VISA -Swiped CardNumber: * * * *» * * *"* * *9348
Authorization: 055687
Reference Number: 00936202
Convenience Fee
Total: $6.13
$6.13
I agree to pay abo a to ount acco ing to ~ uer gr ment & underst\d this convenience fee will be charged to allow my payment via credit card.
Signature: - v
Thank You
Printed: 09/16/2013 15:57:06
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 9/ 16/2013