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If you’ve lost your receipt, here is a sample template you can use to write an acknowledgment letter for a lost receipt.

To [Recipient name]

Dear, [Recipient name]

This letter is to certify that I have lost the original receipt numbered [Reciept number] and is thereby unobtainable. The receipt was received on [Date] which was for a total amount of [Amount] inclusive of taxes. The receipt accounted for [List of goods or services] by [Vendor name].

I hereby declare that the information provided above is accurate and complete. The receipt was lost due to [State reasons] and cannot be produced at the current time.


[Your name]