Cash Receipt

Date: _____________________ Receipt Num: xxxxxxxxxxxxxx

Amount Received From: _________________________________________________________

Business Name Here

Address: ______________________________________________________________________
_____________________________________________________________________________

Website: www.websiteaddress.com
Amount: ______________________________________________________________________

City, State and Zip Code

Business Address
Purpose of Payment: ____________________________________________________________

Phone, Fax
______________________________________________________________________________

Account Payment Made BY

Total Amount Due Cash
Amount Paid Cheque
Balance Due Others

Amount Received By: ___________________________________________________________

_________________________ _________________________
Authorized Signatures Authorized Signatures

Cash Receipt
Date: _____________________ Receipt Num: xxxxxxxxxxxxxx

Amount Received From: _________________________________________________________

Business Name Here

Address: ______________________________________________________________________
_____________________________________________________________________________
Website: www.websiteaddress.com

Amount: ______________________________________________________________________
City, State and Zip Code
Business Address

Purpose of Payment: ____________________________________________________________

Phone, Fax

______________________________________________________________________________

Account Payment Made BY

Total Amount Due Cash
Amount Paid Cheque
Balance Due Others

Amount Received By: ___________________________________________________________

_________________________ _________________________
Authorized Signatures Authorized Signatures