Sam's Club Receipt Example

This is a sample Sam's Club receipt showing Member's Mark Water 40pk, Bath Tissue 45ct and 1 more item, with a total of $65.64. 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 40pk2$4.48
Bath Tissue 45ct1$23.98
Frozen Chicken 10lb1$28.84
Total (incl. tax)$65.64

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SALES RECEIPT

Sam's Club

1247 Maple Avenue

Bentonville, AR 72712

(217) 555-0148

06/15/2026 13:42 · Receipt #498595

Store # 100Reg 1
ItemQtyPriceTotal
Member's Mark Water 40pk2$4.48$8.96
Bath Tissue 45ct1$23.98$23.98
Frozen Chicken 10lb1$28.84$28.84
Subtotal$61.78
Sales Tax (6.25%)$3.86
TOTAL$65.64
Payment MethodCredit •••• 4821

Thank you for shopping with us!

498595