CHILD CARE RECEIPT
PAIDChild care provider
- Provider name:
- Example Early Learning Center
- Address:
- 150 Example Lane, Sampletown
- Phone / email:
- [Phone or email]
- Taxpayer ID no.:
- [Provider taxpayer ID no.]
Receipt details
- Receipt no.:
- CC-2031
- Receipt date:
- Nov 3, 2026
Paid by (parent or guardian)
- Name:
- Morgan Example
- Address:
- 61 Sample Drive, Sampletown
Child and care period
- Child's name:
- Riley Example
- Care period:
- Oct 5-30, 2026
- Care provided:
- Full-day care, Monday to Friday
- Description: Full-day careAmount: 1,160.00
- Qty:
- 4
- Unit:
- week
- Rate:
- 290.00
- Description: Extended-day care, after 6:00 p.m.Amount: 90.00
- Qty:
- 6
- Unit:
- day
- Rate:
- 15.00
- Total for this care period
- 1,250.00
- Amount paid
- 1,250.00
- Balance after this payment
- 0.00
Payment
- Payment method:
- Bank transfer
- Payment reference:
- [Bank or check reference]
- Date received:
- Nov 3, 2026
Provider signature
Date
Received with thanks. Please keep this receipt with your child care payment records.
Child care payment receipt
A receipt a child care provider gives a parent or guardian for care already provided: the provider's name, address and taxpayer ID number, the child's name, the care period, care charges by the week or day, the amount paid with the method and reference, and the provider's signature.
Confirms a payment received
