Costco Wholesale Receipt Example

An editable Costco Wholesale receipt example — Kirkland Rotisserie Chicken, Paper Towels 12ct and 2 more items — coming to $53.61. Use it as a starting point, then edit the items, prices, date and store details to match what you actually bought.

What's on this receipt

ItemQtyPrice
Kirkland Rotisserie Chicken1$4.99
Paper Towels 12ct1$21.99
Organic Eggs 24ct1$7.49
Olive Oil 2L1$15.99
Total (incl. tax)$53.61

Details on this receipt: credit card payment, Issaquah, WA 98027, dated 06/15/2026, with sales tax charged at 6.25%. Every field is editable in your own version — currency, tax rate, date, payment method.

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GROCERY RECEIPT

Costco Wholesale

1247 Maple Avenue

Issaquah, WA 98027

(217) 555-0148

06/15/2026 13:42 · Receipt #901378

Store # 3078Reg 7
ItemQtyPriceTotal
Kirkland Rotisserie Chicken1$4.99$4.99
Paper Towels 12ct1$21.99$21.99
Organic Eggs 24ct1$7.49$7.49
Olive Oil 2L1$15.99$15.99

Items sold: 4

Subtotal$50.46
Sales Tax (6.25%)$3.15
TOTAL$53.61
Payment MethodCredit •••• 4821

Thank you for shopping with us!

901378

Last reviewed