Supplier payment receipt
Fresh Mart Grocery
120 Market Street, Springfield, IL 62701
accounts@freshmart.example.com
Payment receipt
PAY-2026-0410
Sep 20, 2026 · 11:05 AM
Amount paid to
FF Fresh Farms Co.
$500.00
Balance movement
Previous balance
$1,434.56
This payment
$500.00
Remaining balance
$934.56
- Payment ID
- PAY-2026-0410
- Supplier
- · SUP-001
- Payment date
- Sep 20, 2026
- Payment method
- Bank Transfer
- Reference number
- ACH-88231-A · First Prairie Bank
- Related PO / invoice
- PO-2026-0144 · Invoice FF-88231
- Invoice amount
- $1,434.56
- Notes
- Advance of roughly a third of the order value, agreed with Rahul on the phone.
- Created by
- Emily Carter · Super Admin
This is a computer-generated receipt and is valid without a signature. · Thank you for your business.