Date: Time:
SCU ID:
Original CU Invoice Number:
Receipt Number:
Payment Method:
Item Count:
Internal Data:
Receipt Signature:
| Tax Rate | Taxable Amount (KSh) | Tax Amount (KSh) | Total Amount (KSh) |
|---|---|---|---|
| Total | |||
|
Paid on |
20.00 | ||
| Amount Due | 11.05 |