This receipt serves as an itemized record of the funeral-related expenses incurred by the Client for the services provided by [Funeral Home Name]. Please review the details below:
1.1 Service Type: [Specify the type of service, e.g., Traditional Funeral, Cremation, Memorial Service, etc.]
1.2 Date of Service: [Date of the funeral service]
The total amount for the above services and expenses is $[Total Amount].
4.1 Payment Method: [Specify how the payment was made, e.g., Cash, Check, Credit Card, etc.]
4.2 Payment Date: [Date of payment]
5.1 The Client acknowledges that the Provider is not liable for any changes in state laws, regulations, or taxes that may impact the funeral arrangements.
5.2 The Client releases the Provider from any liability arising from unforeseen circumstances, including changes in pricing, availability, or legal requirements.
6.1 This receipt shall be governed by the laws of the state of [State Name].
By signing below, the Client acknowledges that they have received an itemized receipt and agree to its contents.
Client’s Signature: ______________________ Date: ______________________
Provider’s Signature: ______________________ Date: ______________________
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