Sam's Club Receipt Example

Here's what a Sam's Club receipt looks like: Member's Mark Water 40pk, Rotisserie Chicken and 2 more items, totalling $57.69. 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

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

This Sam's Club example reflects a credit card purchase in Bentonville, AR 72712 on 06/15/2026, with sales tax at 6.25%. Yours can use any items, currency, tax rate, date and payment method you like.

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GROCERY RECEIPT

Sam's Club

1247 Maple Avenue

Bentonville, AR 72712

(217) 555-0148

06/15/2026 13:42 · Receipt #507621

Store # 4321Reg 6
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

Items sold: 4

Subtotal$54.30
Sales Tax (6.25%)$3.39
TOTAL$57.69
Payment MethodCredit •••• 4821

Thank you for shopping with us!

507621

Last reviewed