School Payment Receipt

Receipt No: 20250-0001
Date: October 05, 2050

Paid By:

Maryjane Dare
Address: Irvine, CA 92602
Email: maryjane@you.mail

Payment Details

Description	Amount	Date Paid
Tuition Fee	$500.00	October 05, 2050
Extracurricular Activity	$75.00	October 05, 2050
Late Fee Payment	$20.00	October 05, 2050

Total Payment: $595.00

This receipt acknowledges the payment made on the above-mentioned date for the listed services. If you have any inquiries regarding this receipt, please contact us via email at [YOUR EMAIL] or call us at [YOUR COMPANY NUMBER].

Thank you for your timely payment!