This sample receipt form can be used as an example of the type of format used in such documents. Any company that provides products and services at a fee must have a receipt form in order to record all transactions made. This will enable for accurate, verifiable and transparent transactions.
Name of Company or Organization: __________________________________________
Address: ________________________________________________________________
Tel No: _________________________________________________________________
Mobile No: ______________________________________________________________
Email Address: ___________________________________________________________
Name of Client: __________________________________________________________
Tel No: _________________________________________________________________
Mobile No: ______________________________________________________________
Email Address: ___________________________________________________________
Description of transaction made: _____________________________________________
Date of transaction: _______________________________________________________
Mode of payment:
Cash: __________________________________________________________________
Credit card: ______________________________________________________________
Credit card number: _______________________________________________________
Check: _________________________________________________________________
Check number: ___________________________________________________________
Taxes and other charges: ___________________________________________________
Description of transaction made: _____________________________________________
Date of transaction: _______________________________________________________
Mode of payment:
Cash: __________________________________________________________________
Credit card: ______________________________________________________________
Credit card number: _______________________________________________________
Check: _________________________________________________________________
Check number: ___________________________________________________________
Taxes and other charges: ___________________________________________________
Total amount: ____________________________________________________________
Date total amount Paid: ____________________________________________________
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Cost of the purchase:
________________________________________________________________________
Date purchase made:
________________________________________________________________________
Reason for making the purchase:
________________________________________________________________________
