College Fees Receipt
Live Preview
-------------------------------------------
-------------------------------------------
30/06/2026, 08:20:50 PM
-------------------------------------------
Student Name:
Jordan A. Rivera
Guardian Name (optional):
Maria Rivera
Student ID:
WU202401234
Guardian Contact:
(971) 555-8899
Course Name:
Bachelor of Science — Computer Science
Semester:
Fall 2025
Enrollment Type:
Full-time (12+ credits)
Term Start Date:
2025-09-01
Year Level:
2nd Year (Sophomore)
Term End Date:
2025-12-20
Department:
Computer Science
Invoice For:
Tuition & Semester Fees
Date of Birth:
2003-08-14
Class Schedule Ref:
SS-F25-CS-201
Address:
4328 Cedar Lane, Apt 2C
City State Zip:
Portland, OR 97202
Contact Number:
(971) 555-4499
Email:
-------------------------------------------
-------------------------------------------
12
Tuition Fee (12 credits @ $450/credit)
$64800.00
1
Student Activity Fee
$150.00
1
Technology Fee
$95.00
1
Laboratory Fee (CS Labs)
$120.00
1
Health Insurance (optional)
$850.00
1
Housing (Dormitory) — Semester
$2800.00
1
Meal Plan — Silver (14 meals/week)
$1200.00
1
Library Fee (previous)
$25.00
-------------------------------------------
Total
$73191.80
-------------------------------------------
-------------------------------------------
-------------------------------------------
Explore other templates

Signature-receipt

Itemized-receipt

Donation Receipt

Gym Receipt

Monster Energy Receipt

Rent Receipt

Driver Salary Receipt

United Airlines Baggage Receipt

Oil Change Receipt

Delta Airlines Receipt

Preventive Health Checkup Receipt

Lego Receipt

Wire Transfer Receipt

Jiffy Lube Receipt

Dove Body Wash Receipt

Suave Receipt

Axe Body Wash Receipt

American Airlines Receipt

Airbnb Receipt

Album Receipt

Comcast Receipt

LIC Receipt

Planned Parenthood Receipt