Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
REFERENCE NUMBER
TOWN OF WAPPWGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
LARRY F COBLE
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$47.00
$50.00
Transaction Number: 544484
Date Processed: 10/15/2013 15:46:09 EDT
Transaction Type: Credit Card
VISA -Swiped CazdNumber: ************3418
Authorization: 015358
Reference Number: 00681508
Misc Cash $47.00
Total: $47.00
1 agr~cto-paq-elm total ount accordin to ar 'ssuer me
Signs\` / ~
s~
NICIPAY"BERN E ~~ O OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
LARRY F COBLE
Transaction Number: 544484
Date Processed: 10/15/2013 15:46:09 EDT
Transaction Type: Credit Card
VISA -Swiped CazdNumber: "***********3418
Authorization: 01537 ]
Reference Number: 00681509
Convenience Fee $3.00
Total: $3.00
~t
I agree to pay-ahnu~ toipl art3dypr according to the caLd jet ~emen~etlljthia convenience fee will be charged to allow my payment via credit cazd.
Signs `
You
P d: ]0/1512013 15:46:15
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/15/2013