Sample Receipt
Purchase Receipt Design
AUHSY OPTICAL
New Horizon Mall · Balzac, AB
Receipt
Invoice #SJ-30-09-26-006
SEP 30 2026
Tracking Code
AUHSY-VAASMM
Patient
Jane Doe
(825) 555-0199
jane@email.com
Prepared By
AUHSY Optical
(825) 962-8479
hello@auhsyoptical.ca
| Description | Type | Qty | Price |
|---|---|---|---|
| Ray-Ban RX5154 — Tortoise | Frame | 1 | $189.00 |
| Progressive Lens · Index 1.67 | Lens | 1 | $240.00 |
| Anti-Glare + Blue-Light Coating | Coating | 1 | $75.00 |
| FL-41 Tint (Sunglasses pair) | Tint | 1 | $40.00 |
Subtotal$544.00
Deposit Paid−$200.00
Patient Total$344.00
Thank you for choosing AUHSY Optical.
All sales final on frames & lenses. Please retain this receipt for warranty and adjustments. Questions? Call (825) 962-8479.
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