What do I write on a receipt for a horse?

Mary Poppins

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I've had my Daughter's pony on loan for the last 6 weeks, and this Saturday her Owner is coming to see her and we have agreed that I can buy her. I'm not sure if she will have a receipt with her so I am thinking of writing one myself and we can both sign it (just in case she doesn't bring one with her). I don't really know what to write, so does anyone have any ideas?
 
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