Gas Station Receipt Template
A pump receipt example showing fuel grade, gallons dispensed and price, plus a convenience-store item — the standard forecourt printout.
Обновлено:
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 |
Подытог$44.49
Налог (6%)$2.67
ИТОГО$47.16
КартаVISA ****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 |
Подытог$43.84
Налог (6%)$2.63
ИТОГО$46.47
КартаVISA ****4021
Pump 04 — Thank you!
Образец чека — все названия компаний вымышлены.
Related templates
-
Шаблон ресторанного чека
OLIVE & THYME KITCHEN
44 Vineyard Street
Westbrook, ST 00000
(555) 310-2244
10/24/2026 05:18 PM1 Grilled Salmon $21.00 1 Pasta Primavera $16.50 2 Glass of Wine $16.00 1 Tiramisu $7.50 Подытог$61.00
Налог (8.5%)$5.19
ИТОГО$66.19
КартаVISA ****4021
Server: Dana — Table 12. Thank you!
-
Шаблон гостиничного чека
THE LANTERN HOTEL
200 Grand Avenue
Westbrook, ST 00000
(555) 321-9080
10/24/2026 05:18 PM3 Standard King — Night $447.00 1 Room Service $32.50 3 Resort Fee $45.00 Подытог$524.50
Налог (11%)$57.70
ИТОГО$582.20
КартаVISA ****4021
Folio #55821 — Checkout 11:00 AM.
-
Шаблон чека такси
METRO CAB SERVICES
Cab #108 — Licence 04471
Westbrook Metro
(555) 332-7171
10/24/2026 05:18 PM1 Flag Drop $2.80 1 Distance 4.7 mi $11.28 1 Wait Time 6 min $2.40 Подытог$16.48
ИТОГО$16.48
Наличные$16.48
Trip 18:42 – 19:03. Thank you.
-
Шаблон парковочного чека
AIRPORT LONG-TERM PARKING
Terminal Loop Road
Westbrook Airport
(555) 354-1900
10/24/2026 05:18 PM3 Daily Rate $42.00 Подытог$42.00
ИТОГО$42.00
КартаVISA ****4021
Entry Mon 06:10 — Exit Thu 08:45. Zone C.
-
Шаблон продуктового чека
HARVEST LANE MARKET
75 Meadow Parkway
Hillcrest, ST 00000
(555) 365-2323
10/24/2026 05:18 PM2 Organic Apples / lb $3.98 1 Greek Yogurt 32oz $5.29 1 Chicken Breast / lb $4.89 1 Pasta 16oz $1.79 1 Olive Oil 500ml $8.99 Подытог$24.94
Налог (2%)$0.50
ИТОГО$25.44
КартаVISA ****4021
Member savings applied: $2.35
-
Шаблон чека об оплате наличными
HANDY HARDWARE
31 Toolbox Terrace
Hillcrest, ST 00000
(555) 376-4545
10/24/2026 05:18 PM1 Payment Received — Invoice 2210 $60.00 Подытог$60.00
ИТОГО$60.00
Наличные$60.00
Received with thanks — paid in cash.