Water Bill Payment Receipt

Below are the details of your recent water bill payment.

Description	Amount
Water Usage Charge	$75.00
Sewer Service Charge	$25.00
Sales Tax	$5.00
Total Amount:	$105.00

Bill To	Payment Method
Jonatan Farrell Cincinnati, OH 45201	Credit Card Visa ending in 1234

Signature:

Authorized by: [YOUR NAME]
Signature: ____________________

Receipt Templates @ Template.net