GOODBYE FUNERAL HOME PAYMENT RECEIPT

Street Address: ___________________________

City: ___________________________
Phone: ___________________________
Fax: ___________________________
Email: ___________________________
Website: ___________________________

Date: ____________ Receipt #: 000012

Payment Information

Paid By: Victim’s relative

Amount Paid: Fifty-five Thousand Pesos PHP (₱ 55,000.00)

For Payment Of:

 Funeral Expense - - - - - - - ₱ 30,000.00

 Embalming - - - - - - - - - - - ₱ 2,000.00
 Memorial Service - - - - - - ₱ 3,000.00
 Burial Plot - - - - - - - - - - - - ₱ 20,000.00

Subtotal: ₱ 55,000.00
Total Amount Due: ₱ 55,000.00
Amount Paid: ₱ 55,000.00
Remaining Balance: ₱ 55,000.00

Received By: ___________________________

Authorized Signature ___________________________

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