Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
RASHAD MCPHEE
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$15.00
$18.00
Transaction Number: 522894
Date Processed: 09/17/2013 14:11:43 EDT
Transaction Type: Credit Cazd
VISA-Swiped CardNumber: ************0011
Authorization: 857859
Reference Number: 00144686
Misc Cash $15.00
Total:
, i $15.00
i
I agree to pay a ve amo t acco g t c ssu r agreement...
~~
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Sianature~ •L.__-_
MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scarborough,ME 04074
877-564-5656
RASHAD MCPHEE
Transaction Number: 522894
Date Processed: 09/17/2013 14:11:43 EDT
Transaction Type: Credit Card
VISA -Swiped CardNumber: ************0011
Authorization: 180851
Reference Number: 00144688
Convenience Fee $3.00
Total: $3.00
I agree to pay ove amoynt a or ' to d issuer agreement & understand this convenience fee wfll be charged to allow my payment via credit card.
Signature: ~.~1-~ z
Thank ~ //
Printed: 09/ 17/2 13 14:11:51
https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 9/ 17/2013