PAYMENT RECEIPT
PAIDReceived by
- Organization:
- Example Community Tennis Club
- Address:
- 5 Example Park Road, Sampletown
- Phone / email:
- [Phone or email]
Receipt details
- Receipt no.:
- TC-2027-041
- Date:
- Dec 3, 2026
Received from
- Member name:
- Casey Example
- Member no.:
- [Member no.]
- Address:
- 12 Sample Lane, Sampletown
| Payment for | Period | Amount |
|---|---|---|
| Annual membership dues, family | Jan 1-Dec 31, 2027 | 360.00 |
| Court lighting fee | Jan 1-Dec 31, 2027 | 40.00 |
| Spring league entry | Mar 6-May 22, 2027 | 75.00 |
- Total
- 475.00
- Amount paid
- 475.00
- Balance after this payment
- 0.00
Payment
- Payment method:
- Check
- Check no.:
- [Check no.]
- Date received:
- Dec 3, 2026
Received by (print and sign)
Thank you for your payment.
Word payment receipt
A document-style receipt for a payment on an account: what the payment covers and for which period, the total, the amount paid with the method and check number, the balance after this payment and a received-by signature.
Confirms a payment received
