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This Receipt Serves as Proof that the Buyer written below has paid as stipulated below, and that all funds
have been Received, counted, and verified by the Seller.
DATE: ________
Company Name,
Address, Phone NO.
RECEIVED FROM $
[amount] ________[CURRENCY]
MEMO
PREVIOUS
BALANCE
RECEIVED IN CASH
THIS PAYMENT
BY:
SIGNATURE OF
BALANCE DUE
RECEIVER:
STAMP BELOW:
This Receipt Serves as Proof that the Buyer written below has paid as stipulated below, and that all funds have
been Received, counted, and verified by the Seller.
DATE: ________
Company Name,
Address, Phone NO.
RECEIVED FROM $
[amount] ________[CURRENCY]
MEMO
PREVIOUS
BALANCE
RECEIVED IN CASH
THIS PAYMENT
BY:
SIGNATURE OF
BALANCE DUE
RECEIVER:
STAMP BELOW: