Sam's Club Receipt Example

Wondering what a Sam's Club receipt should look like? This example shows Member's Mark Water 40pk, Bath Tissue 45ct and 1 more item for a total of $65.64. Build your own version with your real items, prices, date and store details below.

What's on this receipt

ItemQtyPrice
Member's Mark Water 40pk2$4.48
Bath Tissue 45ct1$23.98
Frozen Chicken 10lb1$28.84
Total (incl. tax)$65.64

The sale shown here was paid by credit card at a Sam's Club location in Bentonville, AR 72712 on 06/15/2026, taxed as sales tax at 6.25%. Change any of those details when you build your own.

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GROCERY RECEIPT

Sam's Club

1247 Maple Avenue

Bentonville, AR 72712

(217) 555-0148

06/15/2026 13:42 · Receipt #498595

Store # 1795Reg 4
ItemQtyPriceTotal
Member's Mark Water 40pk2$4.48$8.96
Bath Tissue 45ct1$23.98$23.98
Frozen Chicken 10lb1$28.84$28.84

Items sold: 4

Subtotal$61.78
Sales Tax (6.25%)$3.86
TOTAL$65.64
Payment MethodCredit •••• 4821

Thank you for shopping with us!

498595

Last reviewed