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Fillable Printable SAMPLE ITEMIZED RECEIPT

Fillable Printable SAMPLE ITEMIZED RECEIPT

SAMPLE ITEMIZED RECEIPT

SAMPLE ITEMIZED RECEIPT

SAMPLE ITEMIZED RECEIPT
You must have an original receipt, no copies accepted
1.30.10
The DATE on your
receipt must be
between
January 23, 2010 and
March 23, 2010
The qualifying
ITEM/ACTIVITY must
be clearly itemized
on
the receipt (e.g.
sneakers, ice skating,
yoga class, etc.)
The DATE on your
receipt must be
between
January 23, 2010 and
March 23, 2010
The qualifying
ITEM/ACTIVITY must
be clearly itemized
on
the receipt (e.g.
sneakers, ice skating,
yoga class, etc.)
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