Instacart Receipt Example
This is a sample Instacart receipt showing Costco Order Subtotal, Delivery Fee and 2 more items, with a total of $186.84. Use it as a reference for what a real Instacart receipt looks like — then make your own with your items, prices, date and store details.
What's on this receipt
| Item | Qty | Price |
|---|---|---|
| Costco Order Subtotal | 1 | $142.60 |
| Delivery Fee | 1 | $3.99 |
| Service Fee | 1 | $14.26 |
| Tip | 1 | $15.00 |
| Total (incl. tax) | $186.84 | |
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SALES RECEIPT
Instacart
1247 Maple Avenue
San Francisco, CA 94105
(217) 555-0148
06/15/2026 13:42 · Receipt #759296
Store # 100Reg 1
| Item | Qty | Price | Total |
|---|---|---|---|
| Costco Order Subtotal | 1 | $142.60 | $142.60 |
| Delivery Fee | 1 | $3.99 | $3.99 |
| Service Fee | 1 | $14.26 | $14.26 |
| Tip | 1 | $15.00 | $15.00 |
Subtotal$175.85
Sales Tax (6.25%)$10.99
TOTAL$186.84
Payment MethodCredit •••• 4821
Thank you for shopping with us!
759296