Receipt

Receipt Number
[Receipt Number]
Receipt Date
[Date + Time]
Payment Method
[Payment Method]

Seller	Customer
[Company Name]	[Customer Name]
[Company Address Line 1]	[Customer Address Line 1]
[Company Address Line 2]	[Customer Address Line 2]
[Company Address Line 3]	[Customer Address Line 3]

DESCRIPTION	QUANTITY	UNIT PRICE	SUBTOTAL	TAX
Products or Services	4 Items / Hours	100.00	400.00	40.00
[Notes]	Subtotal	$400.00
Tax (10%)	$40.00
Total	$440.00

Salesperson	Signature

Thank you for the payment!