%ScaledLogo%

%CompanyName%

%CompanyStreetAddress1%
%CompanyCity% %CompanyState% %CompanyPostalCode%
%CompanyCountry%
PAYMENT RECEIPT
Payment#
%PaymentNumber%
Payment Date
%PaymentDate%
Reference Number
%PaymentRefNumber%
Payment Mode
%PaymentMode%
Amount Received
%PaymentReceived%

Received From

%CustomerName% %CustomerBAddress%
%CustomerBCity%, %CustomerBState%
%CustomerBCountry%

%PaymentNotes%

Payment Refund

%PaymentRefund%

Over payment

%OverPayment%

Payment for

Invoice Number Invoice Date Invoice Amount Withholding Tax Payment Amount
%InvoiceNumber% %InvoiceDate% %InvoiceAmount% %WithholdingTax% %PaidAmount%