Service Receipt Service Receipt Number: Date:

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Presentation transcript:

Service Receipt Service Receipt Number: Date: Service Provider: Service Recipient: Description of Services: Service Date: Service Location: Price Per Hour: OR Flat Rate: Total Hours: Total Cost: Payment Type: Cash Check Card Money Order Check/Card No.: Signature: Service Receipt Number: Date: Service Provider: Service Recipient: Description of Services: Service Date: Service Location: Price Per Hour: OR Flat Rate: Total Hours: Total Cost: Payment Type: Cash Check Card Money Order Check/Card No.: Signature: