Dutch Bros Receipt Example
Here's what a Dutch Bros receipt looks like: Rebel Energy (L), Soft Top, totalling $12.72. Copy the layout and swap in your own items, prices, date and store details to make one that matches your purchase.
What's on this receipt
| Item | Qty | Price |
|---|---|---|
| Rebel Energy (L) | 2 | $5.50 |
| Soft Top | 1 | $0.75 |
| Total (incl. tax) | $12.72 | |
The sale shown here was paid by credit card at a Dutch Bros location in Grants Pass, OR 97526 on 06/15/2026, taxed as sales tax at 8.25%. Change any of those details when you build your own.
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CAFE ORDER
Dutch Bros
412 Oak Street
Grants Pass, OR 97526
(512) 555-0177
06/15/2026 13:42 · Receipt #167633
| Item | Qty | Price | Total |
|---|---|---|---|
| Rebel Energy (L) | 2 | $5.50 | $11.00 |
| Soft Top | 1 | $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
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