Free Sample Delivery Receipt

RECEIPT NO.: DR-00123
DATE: November 18, 2060
DELIVERY INFORMATION
Recipient Name: Lance Nader
Recipient Address: Durham, NC 27701
Contact Information: 222 555 7777
Delivery Method: Standard Shipping
Delivery Personnel Name: Jake Willms
ITEMS DELIVERED
Item Description | Quantity | Unit Price | Total Price |
|---|---|---|---|
Tennis Rackets (Model X200) | 2 | $150.00 | $300.00 |
Tennis Balls (Pack of 6) | 3 | $20.00 | $60.00 |
Tennis Shoes (Size 9) | 1 | $100.00 | $100.00 |
Subtotal: $460.00
Tax (10%): $46.00
Total Amount: $506.00
ACKNOWLEDGEMENT
I, Lance Nader, hereby confirm receipt of the above-listed items in good condition.
Date of Receipt: November 18, 2060
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