Dutch Bros Receipt Example

This is a sample Dutch Bros receipt showing Rebel Energy (L), Soft Top, with a total of $12.72. Use it as a reference for what a real Dutch Bros receipt looks like — then make your own with your items, prices, date and store details.

What's on this receipt

ItemQtyPrice
Rebel Energy (L)2$5.50
Soft Top1$0.75
Total (incl. tax)$12.72

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SALES RECEIPT

Dutch Bros

412 Oak Street

Grants Pass, OR 97526

(512) 555-0177

06/15/2026 13:42 · Receipt #167633

Store # 100Reg 1
ItemQtyPriceTotal
Rebel Energy (L)2$5.50$11.00
Soft Top1$0.75$0.75
Subtotal$11.75
Sales Tax (8.25%)$0.97
TOTAL$12.72
Payment MethodCredit •••• 4821

Fuel your day. See you tomorrow!

167633