Childcare Payment Receipt

Issued By: [YOUR NAME]
Address: Atlanta, GA 30301

Date	Parent/Guardian Name	Child's Name	Amount Paid	Payment Method	Service Period
01/15/2053	Trace Durgan	Emily Durgan	$250.00	Credit Card	01/01/2053 - 01/15/2053

Total Paid: $250.00
Signature: ______________________

Thank you for choosing [YOUR COMPANY NAME]!

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