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HOUSE CLEANING RECEIPT
Company Name: ___________________________
Street Address: ___________________________
City, State, Zip: ___________________________
Phone: ___________________________
Fax: ___________________________
Email: ___________________________
Website: ___________________________
Date: _____________ Receipt #: _____________
Description of Cleaning Services
Cleaning Services Rendered: ____________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Client Name: __________________________ Address: __________________________
Service Date: ___________________________ Number of Service Persons: _____
Start Time: _______ A.M. P.M. Finish Time: _______ A.M. P.M.
Hourly Rate: _____________ Total Charge: _____________
Additional Expenses
Description of Additional Expenses (Receipts Attached): _______________________________
____________________________________________________________________________
____________________________________________________________________________
Summary of Charge
Payment Method:
Cash
Other: _____________
Check (No. __________)
Credit (No. __________)
Subtotal
Tax Rate
Total Tax
Total Amount Due
Amount Paid
Remaining Balance
Authorized Signature __________________________
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