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ITEMIZED SALES RECEIPT
Receipt Number: _________________
Date: _________________
Merchant Name: ___________________________
Merchant Phone Number: ___________________________
Merchant Street Address: ___________________________
City/State/ZIP: ___________________________
Sold to:
Name: _________________
Company Name: _________________
Street Address: __________________________________
City/State/ZIP: _________________
Phone Number: __________________
Description
Quantity
Price/Unit
Line Total
Subtotal: $_________________
Discount: $_________________
Sales Tax: $_________________
Total: $_________________
Payment Method: _________________ Amount Paid: $_________________
Card/Check Number _________________