Sam's Club Receipt Example

This is a sample Sam's Club receipt showing Member's Mark Water 40pk, Rotisserie Chicken and 2 more items, with a total of $57.69. Use it as a reference for what a real Sam's Club receipt looks like — then make your own with your items, prices, date and store details.

What's on this receipt

ItemQtyPrice
Member's Mark Water 40pk1$4.48
Rotisserie Chicken1$4.98
Paper Towels 15ct1$19.98
Ground Beef 5lb1$24.86
Total (incl. tax)$57.69

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SALES RECEIPT

Sam's Club

1247 Maple Avenue

Bentonville, AR 72712

(217) 555-0148

06/15/2026 13:42 · Receipt #507621

Store # 100Reg 1
ItemQtyPriceTotal
Member's Mark Water 40pk1$4.48$4.48
Rotisserie Chicken1$4.98$4.98
Paper Towels 15ct1$19.98$19.98
Ground Beef 5lb1$24.86$24.86
Subtotal$54.30
Sales Tax (6.25%)$3.39
TOTAL$57.69
Payment MethodCredit •••• 4821

Thank you for shopping with us!

507621