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RECEIPT Date No.

Received From Amount 680.00


Amount Six Hundred Eighty and NO/100 ----------- Pesos

For Payment of Colored Document Prints; with Pictures

From [begin juldate] to [end date] Paid by [ ] Cash


[ ] Check No.
Received By x [42] [ ] Money Order
[Name]
[Address] Account Amt
[Phone] This Payment $ 680.00
Balance Due -680.00
Receipt Template by Vertex42.com

RECEIPT Date No.

Received From Amount $


Amount Dollars

For Payment of

From to Paid by [ ] Cash


{42} [ ] Check No.
Received By x [ ] Money Order
[Name]
[Address] Account Amt
[Phone] This Payment
Balance Due $
Receipt Template by Vertex42.com

RECEIPT Date No.

Received From Amount $


Amount Dollars

For Payment of

From to Paid by [ ] Cash


{42} [ ] Check No.
Received By x [ ] Money Order
[Name]
[Address] Account Amt
[Phone] This Payment
Balance Due $
Receipt Template by Vertex42.com
Cash Receipt Template

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