Sample Repairs
5 Mill Street
Denver, CO 80202
(303) 555-0190
- Receipt #
- 1042
- Customer
- J. Patel
- Date
- Oct 25, 2026
- Time
- 4:40 PM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Service fee1 × $29.99 | 1 | $29.99 | $29.99 |
| Supplies1 × $4.20 | 1 | $4.20 | $4.20 |
- Subtotal
- $34.19
- Total
- $34.19
- Payment method
- Cash
- Amount received
- $40.00
- Change
- $5.81