‫ﻓﺎﺗﻮﺭﺓ ﺿﺮﻳﺒﻴﺔ‬

TAX INVOICE

Seller : : ‫ﺍﻟﻤﻮﺭﺩ‬ Buyer : :‫ﺍﻟﻤﺸﺘﺮﻱ‬

Name : Alissa Universal Motors ‫ﺷﺮﻛﺔ ﺍﻟﻌﻴﺴﻰ ﺍﻟﻌﺎﻟﻤﻴﺔ ﻟﻠﺴﻴﺎﺭﺍﺕ‬ :‫ﺍﺳﻢ‬ Name: Co Kal Almdein ‫ﺷﺮﻛﺔ ﻛﻞ ﺍﻟﻤﻌﺎﺩﻥ ﺍﻟﺘﺠﺎﺭﻳﺔ ﺍﻟﺘﺠﺎﺭﻳﺔ‬ :‫ﺍﺳﻢ‬

Building No: 7618 7618 :. ‫ﺭﻗﻢ ﺍﻟﻤﺒﻨﻰ‬ Building No: 8328 8328 :. ‫ﺭﻗﻢ ﺍﻟﻤﺒﻨﻰ‬

Street Name: Cornishe Rd ‫ ﻃﺮﻳﻖ ﺍﻟﻜﻮﺭﻧﻴﺶ‬:‫ﺍﺳﻢ ﺍﻟﺸﺎﺭﻉ‬ Street Name: Industrial Area ‫ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻟﺼﻨﺎﻋﻴﺔ‬:‫ﺍﺳﻢ ﺍﻟﺸﺎﺭﻉ‬

District: Investment Area ‫ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻻﺳﺘﺜﻤﺎﺭﻳﺔ‬:‫ﺍﺳﻢ ﺍﻟﺤﻲ‬ District: Industrial Area ‫ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻟﺼﻨﺎﻋﻴﺔ‬:‫ﺍﺳﻢ ﺍﻟﺤﻲ‬

City: Jazan ‫ ﺟﺎﺯﺍﻥ‬:‫ﻣﺪﻳﻨﺔ‬ City: Jazan ‫ ﺟﺎﺯﺍﻥ‬:‫ﻣﺪﻳﻨﺔ‬

Country: Saudi Arabia ‫ ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬:‫ﺍﻟﺪﻭﻟﺔ‬ Country : SA :‫ﺍﻟﺪﻭﻟﺔ‬

Postal Code: 82725 82725 :‫ﺍﻟﺮﻣﺰ ﺍﻟﺒﺮﻳﺪﻱ‬ Postal Code: 82621 82621 :‫ﺍﻟﺮﻣﺰ ﺍﻟﺒﺮﻳﺪﻱ‬

Additional No: 5900121463 5900121463 :‫ﺍﻟﺮﻗﻢ ﺍﻻﺿﺎﻓﻲ‬ Additional No: 4692 4692 :‫ﺍﻟﺮﻗﻢ ﺍﻻﺿﺎﻓﻲ‬

VAT Number: 300000367410003 300000367410003 :‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬ VAT Number: 311134398900003 311134398900003 :‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬

Other Seller ID: 1010269251 1010269251 :‫ﻣﻌﺮﻑ ﺍﻟﺒﺎﺋﻊ ﺍﻵﺧﺮ‬ Other Buyer ID: 5900025281 5900025281 :‫ﻣﻌﺮﻑ ﺍﻟﻤﺸﺘﺮﻱ ﺍﻵﺧﺮ‬

Unified Number : 800-124-3222 800-124-3222 : ‫ﺍﻟﺮﻗﻢ ﺍﻟﻤﻮﺣﺪ‬ Contact# : 0553099246 0553099246 : ‫ﺭﻗﻢ ﺍﻟﺘﻮﺍﺻﻞ‬

Invoice Number: IN-AUM/2024/007753 :‫ﺭﻗﻢ ﺍﻟﻔﺎﺗﻮﺭﺓ‬ Customer Account: c0005341 :‫ﺣﺴﺎﺏ ﺍﻟﻌﻤﻴﻞ‬

Invoice Issue Date: 20-08-2024 :‫ﺗﺎﺭﻳﺦ ﺇﺻﺪﺍﺭ ﺍﻟﻔﺎﺗﻮﺭﺓ‬ Reference Number: A8/53005799 :‫ﺭﻗﻢ ﺍﻟﻤﺮﺟﻊ‬

Branch & WIPNo: A8/20852 : ‫ﺍﻟﻔﺮﻉ ﻭﺭﻗﻢ ﺍﻟﻤﺮﺟﻊ‬ Department Name: Service :‫ﺍﻟﻘﺴﻢ‬

Date of Supply: 20-08-2024 :‫ﺗﺎﺭﻳﺦ ﺍﻟﺘﻮﺭﻳﺪ‬ PO Number: :(‫ﺭﻗﻢ ﺃﻣﺮ ﺷﺮﺍﺀ )ﺗﻌﻤﻴﺪ‬

Invoice Currency: SAR Salesman: ua141-Muhammed Ahmed :‫ﺍﻟﺒﺎﺋﻊ‬

Marqami
Print Timestamp: 20-08-2024 02:37:35 : ‫ﻭﻗﺖ ﻃﺒﺎﻋﺔ ﺍﻟﻔﺎﺗﻮﺭﺓ‬

Total Deposit: 0.00 :‫ﺇﺟﻤﺎﻟﻲ ﺩﻓﻌﺔ‬

Total Net Payable: 618.02 :‫ﺇﺟﻤﺎﻟﻲ ﺻﺎﻓﻲ ﺍﻟﻤﺒﺎﻟﻎ ﺍﻟﻤﺴﺘﺤﻘﺔ ﺍﻟﺪﻓﻊ‬

Line items: Amounts in Invoice Currency (SAR) :‫ﺍﻟﺒﻨﻮﺩ‬

Item
Gross Subtotal
Item number Nature of Goods or Services Unit Price Quantity Discount Net Amount Tax Amount
Amount Including
VAT
‫ﺍﻻﺟﻤﺎﻟﻲ ﺑﻌﺪ‬
‫ﻣﺘﺴﻠﺴﻞ‬ ‫ﻭﺻﻒ ﺍﻟﺼﻨﻒ‬ ‫ﺳﻌﺮ ﺍﻟﻮﺣﺪﺓ‬ ‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﺍﻟﻘﻴﻤﺔ‬ ‫ﺍﻟﺨﺼﻢ‬ ‫ﺍﻟﻘﻴﻤﺔ ﺑﻌﺪ ﺍﻟﺨﺼﻢ‬ ‫ﻗﻴﻤﺔ ﺍﻟﻀﺮﻳﺒﺔ‬
‫ﺍﻟﻀﺮﻳﺒﺔ‬
1 AU001-Change engine oil filter 170.00 0.50 85.00 12.75 72.25 10.84 83.09

‫ﺗﻐﻴﺮ ﺯﻳﺖ ﺍﻟﻤﺤﺮﻙ ﻣﻊ ﻓﻠﺘﺮ ﺍﻟﺰﻳﺖ‬

Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
2 AU010-30 point inspection 0.00 1.00 0.00 0.00 0.00 0.00 0.00

‫ ﻧﻘﻄﺔ‬30 ‫ﻓﺤﺺ‬
Tax Rate: 0.00 0.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
VAT Exempt Reason Text: Out of Scope :‫ﻧﺺ ﺳﺒﺐ ﺍﻹﻋﻔﺎﺀ ﻣﻦ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
3 AU003-Change FRT RR diff oil 170.00 1.00 170.00 25.50 144.50 21.68 166.18

‫ﺗﻐﻴﺮ ﺯﻳﺖ ﺍﻟﺪﻓﺮﻧﺲ ﺍﻻﻣﺎﻣﻰ ﻭﺍﻟﺨﻠﻔﻰ‬

Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
4 AU013-Adjust brake hand brake 0.00 1.00 0.00 0.00 0.00 0.00 0.00

‫ ﻓﺮﺍﻣﻞ ﺍﻟﻴﺪ‬/ ‫ﻭﺯﻥ ﺍﻟﻔﺮﺍﻣﻞ‬

Tax Rate: 0.00 0.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
VAT Exempt Reason Text: Out of Scope :‫ﻧﺺ ﺳﺒﺐ ﺍﻹﻋﻔﺎﺀ ﻣﻦ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
5 AU008-Change transfer gear oil 170.00 0.50 85.00 12.75 72.25 10.84 83.09

‫ﺗﻐﻴﺮ ﺯﻳﺖ ﺍﻟﺠﻴﺮ ﺍﻟﺪﺑﻞ‬

Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
6 LUBEH-Engine oil 15W40 12.00 8.00 96.00 0.00 96.00 14.40 110.40

‫ ﺯﻳﺖ ﺍﻟﻤﺤﺮﻙ‬15W40
Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
7 LUBDF-Differential Oil 85W140 20.00 5.00 100.00 0.00 100.00 15.00 115.00

‫ ﺯﻳﺖ ﺍﻟﺪﻓﺮﻧﺲ‬85W140
Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬

1 of 2
 8 LUBTC-Transfer Case oil 15W40 15.00 2.00 30.00 0.00 30.00 4.50 34.50

‫ﺯﻳﺖ ﺍﻟﺠﻴﺮ ﺍﻟﺪﺑﻞ‬

Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
9 IZ587615000-ELEMENT OIL FILT 32.00 1.00 32.00 9.60 22.40 3.36 25.76

‫ﻓﻠﺘﺮﺯﻳﺖ ﻣﻜﻴﻨﺔ‬
Tax Rate: 15.00 15.00 :‫ﻣﻌﺪﻝ ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﻤﻀﺎﻓﺔ‬
Total 20.00 598.00 60.60 537.40 80.62 618.02

Total Amounts: :‫ﺇﺟﻤﺎﻟﻲ ﺍﻟﻤﺒﺎﻟﻎ‬

Gross Total Amount (SAR) ‫ﺍﻹﺟﻤﺎﻟﻲ ﻗﺒﻞ ﺍﻟﺨﺼﻢ‬ 598.00

Discount Amount (SAR) ‫ﺍﻟﺨﺼﻢ‬ 60.60

Net Taxable Amount (SAR) ‫ﺍﻻﺟﻤﺎﻟﻲ ﺍﻟﺨﺎﺿﻊ ﻟﻠﻀﺮﻳﺒﺔ ﺑﻌﺪ ﺍﻟﺨﺼﻢ‬ 537.40

Net Non Taxable Amount (SAR) ‫ﺍﻻﺟﻤﺎﻟﻲ ﻏﻴﺮ ﺍﻟﺨﺎﺿﻊ ﻟﻠﻀﺮﻳﺒﺔ ﺑﻌﺪ ﺍﻟﺨﺼﻢ‬ 0.00

Net Amount Exculding VAT (SAR) ‫ﺇﺟﻤﺎﻟﻲ ﻗﻴﻤﺔ ﻗﺒﻞ ﺍﻟﻀﺮﻳﺒﺔ‬ 537.40

Tax Amount (SAR) ‫ﺇﺟﻤﺎﻟﻲ ﻗﻴﻤﺔ ﺍﻟﻀﺮﻳﺒﺔ‬ 80.62

Total Amount Including VAT (SAR) ‫ﺇﺟﻤﺎﻟﻲ ﻗﻴﻤﺔ ﺍﻟﻔﺎﺗﻮﺭﺓ‬ 618.02

Additional Information : Retail Invoice/Cash Sale/Desc: Isuzu Crew 3.0 LD 4x4 AT RBD :‫ﻣﻌﻠﻮﻣﺎﺕ ﺇﺿﺎﻓﻴﺔ‬
GT/Chassis:MPAER33TXPT018105/Mileage:10000/PlateNo:8866 VTB

Employee Signature / ‫ ﺗﻮﻗﻴﻊ ﺍﻟﻤﻮﻇﻒ‬: : Customer Signature / ‫ﺗﻮﻗﻴﻊ ﺍﻟﻌﻤﻴﻞ‬

Direct transfer to company bank account as per below ‫ﺍﻟﺘﺤﻮﻳﻞ ﺍﻟﻤﺒﺎﺷﺮ ﺇﻟﻰ ﺍﻟﺤﺴﺎﺏ ﺍﻟﺒﻨﻜﻲ ﻟﻠﺸﺮﻛﺔ ﻛﻤﺎ ﻫﻮ ﻣﻮﺿﺢ ﺃﺩﻧﺎﻩ‬

Account Name: Alissa Universal Motors ‫ ﺷﺮﻛﺔ ﺍﻟﻌﻴﺴﻰ ﺍﻟﻌﺎﻟﻤﻴﺔ ﻟﻠﺴﻴﺎﺭﺍﺕ‬:‫ﺇﺳﻢ ﺍﻟﺤﺴﺎﺏ‬

Bank Name: Saudi National Bank ‫ ﺍﻟﺒﻨﻚ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻟﻮﻃﻨﻲ‬:‫ﺇﺍﺳﻢ ﺍﻟﺒﻨﻚ‬

Account no. 65900000402908 65900000402908 ‫ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ‬

IBAN: SA5410000065900000402908 SA5410000065900000402908 :‫ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ ﺍﻟﻤﺼﺮﻓﻲ ﺍﻟﺪﻭﻟﻲ‬

Invoice received and the goods in a good condition ‫ﺗﻢ ﺍﺳﺘﻼﻡ ﺍﻟﻔﺎﺗﻮﺭﺓ ﻭﺍﻟﺒﻀﺎﺋﻊ ﻓﻲ ﺣﺎﻟﺔ ﺟﻴﺪﺓ‬

Payment term: :‫ﺷﺮﻭﻁ ﺍﻟﺪﻓﻊ‬

2 of 2