Payment Receipt
Business Name
Address Line 1
City, State ZIP
Phone / Website
ReceiptPR-XXXX
DateMM/DD/YYYY
Received FromCustomer Name
ForDescription of goods/services
Payment MethodCash / Card / Transfer
Subtotal: 0.00
Tax: 0.00
TOTAL PAID: 0.00
Balance Due: 0.00
Thank you for your business!