Page 1 of 1
CARPET CLEANING RECEIPT
Company Name: __________________________
Street Address: ___________________________
City, State, Zip: ___________________________
Phone: ___________________________
Fax: ___________________________
Email: ___________________________
Date: _________ Receipt #: _________
Date
Cleaning Description
Total
Subtotal: $_________
Tax Rate (%): _________
Tax: $_________
Total Amount Due: $_________
Acknowledgement of Payment
This receipt acknowledges that __________________________, the Client, paid the total
amount of __________________________ Dollars ($_________) for carpet cleaning services
performed at _________________________________________________________________.
Authorized Signature ___________________________
Client Acknowledgement
- I hereby acknowledge the satisfactory completion of the cleaning services described above.
Client’s Signature ___________________________
click to sign
signature
click to edit
click to sign
signature
click to edit