Credit cardsPage 1
Receipt
TRANSACTION SUMMARY TRANSACTION TYPE: SALE
AMOUNT
REFERENCE NUMBER 00
$3
PAYMENT ITEM .
NPS Convenience Fee $47.00
Misc Cash $50.00
~~~~
TOTAL:
.......................................................................................
.........
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
DAVID A SAMPSON
........................
............................................
....................................................................................................................................... 547255
..
Transaction Number: 10/18/2013 12:52:00 EDT
Date Processed: Credit Card
Transaction Type: CazdNumber: "*********"*5950
VISA -Swiped 912074
00439716
Authorization:
Reference Number: $47.00
• $47.00
Misc Cash
Total:
cor ' to the cazd issuer agreement.
I a ove o
Signature:
M ICIPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
.....................................................................
DAVID A SAMPSON
.......................................................................................................................................... 547255
Transaction Number: 10/18/2013 12:52:00 EDT
Date Processed: Credit Card
CazdNumber:
Transaction Type: *******""*'*5950
VISA -Swiped 912073
00439715
Authorization:
Reference Number: $3.00
Convenience Fee $3.00
Total:
nt & understand this convenience fee will be charged to allow my payment via credit card.
'
to e c d issuer agreeme
I agree o pa ove total a mt ac r
Signatur
ank You
Printed: 10/ 18/2013 12:52:08
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 10/ 18/2013