Official ESU Receipt
Instructions for Completion:
- Numerical amount received.
- Date receipt is completed.
- Account number(s) in which funds are to be deposited.
- Name of individual/organization/firm that is making payment.
- Written amount received.
- Why payment is being made.
- Indicate if payment is check or cash.
- Amount of sales tax included in amount collected.
Signature of person issuing receipt.