Official ESU Receipt

Instructions for Completion:

• 1. Numerical amount received.

  2. Date receipt is completed.

  3. Account number(s) in which funds are to be deposited.

  4. Name of individual/organization/firm that is making payment.

  5. Written amount received.

  6. Why payment is being made.

  7. Indicate if payment is check or cash.

  8. Amount of sales tax included in amount collected.

  9. Signature of person issuing receipt.