Gas Station Receipt Template
A pump receipt example showing fuel grade, gallons dispensed and price, plus a convenience-store item — the standard forecourt printout.
Dernière mise à jour:
SUMMIT FUEL STOP
1200 Ridge Route
Hillcrest, ST 00000
(555) 343-8800
| 1 | Premium 93 — 9.86 gal | $42.30 |
| 1 | Coffee 16oz | $2.19 |
Sous-total$44.49
Taxe (6%)$2.67
TOTAL$47.16
CARTEVISA ****4021
Pump 07 — Come again!
ROUTE 9 FUEL
900 Highway 9
Crossroads, ST 00000
(555) 052-9090
| 1 | Unleaded 87 — 11.42 gal | $39.85 |
| 1 | Windshield Fluid | $3.99 |
Sous-total$43.84
Taxe (6%)$2.63
TOTAL$46.47
CARTEVISA ****4021
Pump 04 — Thank you!
Reçu d'exemple — tous les noms d'entreprises sont fictifs.
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