Credit cardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Misc Cash $40.00
TOTAL: $43.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
JAMES L FLATTEN
Transaction Number:
Date Processed:
Transaction Type:
VISA -Swiped
Authorization:
Reference Number:
Misc Cash
Total:
I agree to pay ab t unt according to e c issuer agreement.
Signature:
MUN PAY"SER E FEE TOWN OF WAPPINGER
40 Technology Way
Scazborough,ME 04074
877-564-5656
JAMES L FLATTEN
541875
10/11/2013 12:27:03 EDT
Credit Cazd
CazdNumber: ************4064
114346
00548577
$40.00
$40.00
Transaction Number: 541875
Date Processed: 10/11/2013 12:27:03 EDT
Transaction Type: Credit Card
VISA -Swiped CardNumber: "* * * * * * * * * * *4064
Authorization: 114343
Reference Number: 00548578
Convenience Fee $3.00
Total: ~ ~ $3.00
pay ~b6ve tot amount according to t~e card}ssuer agreement & understand tltis convenience fee will be charged to allow my payment via credit cazd.
Thank You
Printed: 10/ I 1 /2013 12:27:09
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/11 /2013