Service receipt
SERVICE RECEIPT
MM / DD / YYYY
Service Provider:
[Sender.Company]
[Sender.Address]
Customer:
[Client.Company]
[Client.Address]
Payment Method:___ Cash___ Check (Check No.[CHECK NUMBER])
___ Credit CardType: __________Card No.:[CREDIT CARD NUMBER] Exp.: [EXP DATE]
No. of Hrs. | Contract/PO Ref. | Service or Labor Description | Rate | Extended Total |
---|---|---|---|---|
Subtotal: | ||||
Service tax: | ||||
Total: |
This Service Receipt reflects payments of the Customer to [Sender.Company]. The above items are hereby confirmed to have been paid in full as described above.
[Sender.Company]
SignatureDate
[Sender.FirstName][Sender.LastName]