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Cleaning Receipt Template

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CLEANING RECEIPT

Company Name: __________________________


Street Address: __________________________
City, State, Zip: __________________________
Phone: __________________________
Fax: __________________________
Email: __________________________
Website: __________________________

Date: _____________ Receipt #: _____________


Client Information

Name: __________________________ Street Address: __________________________

City, State, Zip: __________________________ Phone: __________________________

Description of Cleaning Services

Cleaning Services Rendered: ____________________________________________________


____________________________________________________________________________
____________________________________________________________________________

Initial Service Date: _____________ Completion Date: _____________

Service Charge: __________________________ Dollars ($_____________)

Additional Expenses: __________________________ Dollars ($_____________)

Description of Additional Expenses (Receipts Attached): _______________________________


____________________________________________________________________________

Subtotal: _____________
Tax Rate: _____________
Total Tax: _____________
Amount Due: _____________
Summary of Charge

The aforementioned Client paid the total amount of __________________________ Dollars


($_____________) in the form of (check one) ☐ Cash ☐ Credit (No. _____________)
☐ Check (No. _____________) ☐ Other: __________________________.

Authorized Signature __________________________

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