Company Address RECEIPT No: ………… Date: ……… Account: …………… Crsp acct: …………… Payer: Address: For: Amount: In words: Enclosure: document(s) Chief accountant (Sign, full name) Settlement account (Sign, full name) Cashier (Sign, full name) Payer (Sign, full name) Received the amount (in words):……………………………………………………………………………… Date:… … … … … … … … … …