‫‪Invoice No‬‬ ‫‪:‬‬ ‫‪33798‬‬ ‫ﻓﺎﺗﻮﺭﺓ ﺿﺮﻳﺒﻴﺔ‪TAX INVOICE /‬‬ ‫‪۳۳٧٩٨‬‬ ‫‪:‬‬ ‫ﺭﻗﻢ ﺍﻟﻔﺎﺗﻮﺭﺓ‬

‫‪Seller Details‬‬ ‫ﺗﻔﺎﺻﻴﻞ ﺍﻟﺒﺎﺋﻊ‬

‫‪Name‬‬ ‫‪Standard Arabia Inspection Co Ltd‬‬ ‫ﺷﺮﻛﺔ ﻣﻌﻴﺎﺭ ﺍﻟﻌﺮﺑﻴﺔ ﻟﻠﻔﺤﺺ ﺍﻟﻤﺤﺪﻭﺩﺓ‬ ‫ﺍﺳﻢ‬

‫‪Street Name‬‬ ‫‪6795 - 1St Industrial Area‬‬ ‫‪ - 6795‬ﺍﻟﻤﻨﻄﻘﺔ ﺍﻟﺼﻨﺎﻋﻴﺔ ﺍﻷﻭﻟﻰ‬ ‫ﺍﺳﻢ ﺍﻟﺸﺎﺭﻉ‬

‫‪Building No‬‬ ‫‪Unit No 7888‬‬ ‫‪City‬‬ ‫‪Al Jubail‬‬ ‫ﺍﻟﺠﺒﻴﻞ‬ ‫ﺍﻟﻤﺪﻳﻨﺔ‬ ‫ﻭﺣﺪﺓ ﺭﻗﻢ ‪7888‬‬ ‫ﺭﻗﻢ ﺍﻟﻤﺒﻨﻰ‬

‫‪Addl No‬‬ ‫‪2981‬‬ ‫‪District‬‬ ‫‪1st Industrial Area‬‬ ‫ﺍﻟﻤﻨﻄﻘﺔ ﺍﻟﺼﻨﺎﻋﻴﺔ ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﻤﻨﻄﻘﺔ‬ ‫‪٢٩٨١‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻻﺿﺎﻓﻲ‬

‫‪Postal Code‬‬ ‫‪35717‬‬ ‫‪Country‬‬ ‫‪Kingdom of Saudi‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺍﻟﺪﻭﻟﺔ‬ ‫‪٣٥٧١٧‬‬ ‫ﺍﻟﺮﻣﺰ ﺍﻟﺒﺮﻳﺪﻱ‬
‫‪Arabia‬‬
‫‪Company VAT‬‬ ‫‪301271872900003‬‬ ‫‪CRN‬‬ ‫‪2055024044‬‬ ‫‪٢٠٥٥٠٢٤٠٤٤‬‬ ‫ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ ‫‪۳٠۱۲٧۱٨٧۲٩٠٠٠٠۳‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬

‫‪Buyer Details‬‬ ‫‪Customer Id‬‬ ‫‪11000-02050‬‬ ‫ﺗﻔﺎﺻﻴﻞ ﺍﻟﻤﺸﺘﺮﻱ‬

‫‪Name‬‬ ‫‪JAK GENERATION GEN. CONT. CO. LLC.‬‬ ‫ﺷﺮﻛﺔ ﺃﺟﻴﺎﻝ ﺍﻟﺮﺍﻓﻌﺔ ﻟﻠﻤﻘﺎﻭﻻﺕ ﺍﻟﻌﺎﻣﺔ‬ ‫ﺍﺳﻢ‬

‫‪Street Name‬‬ ‫‪Tamim Al Ghani‬‬ ‫ﺗﻤﻴﻢ ﺍﻟﻐﻨﻲ‬ ‫ﺍﺳﻢ ﺍﻟﺸﺎﺭﻉ‬

‫‪Building No‬‬ ‫‪8204‬‬ ‫‪City‬‬ ‫‪Dammam‬‬ ‫ﺍﻟﺪﻣﺎﻡ‬ ‫ﺍﻟﻤﺪﻳﻨﺔ‬ ‫‪٨٢٠٤‬‬ ‫ﺭﻗﻢ ﺍﻟﻤﺒﻨﻰ‬

‫‪Addl No‬‬ ‫‪3989‬‬ ‫‪District‬‬ ‫‪As Suq Dist.‬‬ ‫ﺣﻲ ﺍﻟﺴﻮﻕ‬ ‫ﺍﻟﻤﻨﻄﻘﺔ‬ ‫‪٣٩٨٩‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻻﺿﺎﻓﻲ‬

‫‪Postal Code‬‬ ‫‪32242‬‬ ‫‪Country‬‬ ‫‪Saudi Arabia‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺍﻟﺪﻭﻟﺔ‬ ‫‪٣٢٢٤٢‬‬ ‫ﺍﻟﺮﻣﺰ ﺍﻟﺒﺮﻳﺪﻱ‬

‫‪Company VAT‬‬ ‫‪311172158900003‬‬ ‫‪CRN‬‬ ‫‪2050209981‬‬ ‫‪٢٠٥٠٢٠٩٩٨١‬‬ ‫ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ ‫‪۳۱۱۱٧۲۱۵٨٩٠٠٠٠۳‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬

‫ﺗﺎﺭﻳﺦ ﺍﻟﻔﺎﺗﻮﺭﺓ‬ ‫ﺷﺮﻭﻁ ﺍﻟﺪﻓﻊ‬ ‫ﺗﺎﺭﻳﺦ ﺍﻻﺳﺘﺤﻘﺎﻕ‬ ‫ﻃﻠﺐ ﺷﺮﺍﺀ ﺍﻟﻌﻤﻴﻞ‬

‫‪Invoice Date‬‬ ‫‪PAYMENT TERMS‬‬ ‫‪Due Date‬‬ ‫‪Customer PO‬‬

‫‪11-07-2023‬‬ ‫‪0 Days‬‬ ‫‪11-07-2023‬‬

‫‪#‬‬ ‫ﻭﺻﻒ ﺍﻟﺼﻨﻒ‬ ‫ﺳﻌﺮ ﺍﻟﻮﺣﺪﺓ ﺗﺎﺭﻳﺦ ﺍﻟﺨﺪﻣﺔ‬ ‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﺍﻟﻤﺠﻤﻮﻉ ﺍﻟﻔﺮﻋﻲ ﻟﻠﻌﻨﺼﺮ ﻗﻴﻤﺔ ﺍﻟﻀﺮﻳﺒﺔ ﺿﺮﻳﺒﺔ ﺍﻟﻤﺒﻠﻎ ﺍﻟﺨﺎﺿﻊ‬
‫ﻟﻠﻀﺮﻳﺒﺔ‬ ‫ﺍﻟﻘﻴﻤﺔ‬
‫‪Nature of Goods / Services‬‬ ‫‪Date of Service‬‬ ‫‪Unit Price‬‬ ‫‪Qty‬‬ ‫‪Vat Amt‬‬ ‫‪Item Subtotal‬‬

‫‪Taxable Amt‬‬ ‫‪% VAT‬‬ ‫)‪(Inc.Vat‬‬

‫‪ / OPERATOR CERTIFICATE‬ﺷﻬﺎﺩﺓ ﺍﻟﻤﺸﻐﻞ‬ ‫ﻣﺸﻐﻞ ﺣﻔﺎﺭ ﻣﺠﻨﺰﺭ‬

‫‪/‬‬
‫‪1‬‬ ‫‪EXCAVATOR OPERATOR‬‬ ‫‪11-07-2023‬‬ ‫‪304.35‬‬ ‫‪1‬‬ ‫‪304.35‬‬ ‫‪15.00‬‬ ‫‪45.65‬‬ ‫‪350.00‬‬
‫‪SA-OPR-35532 /OAS-13358 / RANJITH KUMAR SINGH /2547325585‬‬

‫‪......Nothing Follows ......‬‬

‫ﺇﺟﻤﺎﻟﻲ ﺑﺪﻭﻥ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬ ‫ﺍﻟﺨﺼﻢ‬ ‫ﺍﻹﺟﻤﺎﻟﻲ ﻣﻊ ﺿﺮﻳﺒﺔ‬ ‫ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬ ‫ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﺪﻓﻮﻋﺔ ‪ /‬ﺗﻄﺒﻴﻖ‬ ‫ﺍﻟﻤﺠﻤﻮﻉ‬
‫ﺍﻟﺤﺼﺮﻳﺔ‬ ‫ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬ ‫ﺍﻻﺋﺘﻤﺎﻥ‬
‫)‪TOTAL(EXCLUDING VAT‬‬ ‫‪DISCOUNT‬‬ ‫‪TOTAL AMOUNT(INCLUDING‬‬ ‫‪TOTAL VAT‬‬ ‫‪AMOUNT PAID/ CREDIT APPLIED‬‬ ‫‪TOTAL AMOUNT DUE‬‬
‫)‪VAT‬‬

‫‪304.35‬‬ ‫‪0.00‬‬ ‫‪350.00‬‬ ‫‪45.65‬‬ ‫‪0.00‬‬ ‫‪350.00‬‬

‫ﻓﻘﻂ ﺛﻼﺛﻤﺎﺋﺔ ﻭ ﺧﻤﺴﻮﻥ ﺭﻳﺎ ﻻ ً ﺳﻌﻮﺩﻳ ﺎ ً ﻻ ﻏﻴﺮ‪.‬‬ ‫ﺍﻟﻤﺒﻠﻎ ﺑﺎﻟﻜﻠﻤﺎﺕ‪:‬‬

‫ﺷﺮﻛﺔ ﻣﻌﻴﺎﺭ ﺍﻟﻌﺮﺑﻴﺔ ﻟﻠﻔﺤﺺ ﺍﻟﻤﺤﺪﻭﺩﺓ‬ ‫ﻣﺼﺮﻑ ﺍﻟﺮﺍﺟﺤﻲ‬ ‫ﺍﻟﺠﺒﻴﻞ – ﻓﺮﻉ ﺍﻟﻤﺮﻗﺎﺏ‬ ‫‪BANK ACCOUNT#‬‬ ‫‪IBAN:‬‬

‫‪STANDARD ARABIA‬‬ ‫‪AL RAJHI BANK‬‬ ‫‪JUBAIL,‬‬ ‫‪58000-001-000 6080 024 782‬‬ ‫‪SA76 8000 0580 6080 1002 4782‬‬
‫‪INSPECTION CO LTD‬‬ ‫‪K.S.A‬‬

‫‪ Received By‬ﺍﺳﺘﻠﻤﺖ ﺑﻮﺍﺳﻄ ﺔ ٌ‬

‫‪ Signature‬ﺍﻟﺘﻮﻗﻴﻊ‬

‫‪ Date and Stamp‬ﺍﻟﺘﺎﺭﻳﺦ ﻭﺍﻟﻄﺎﺑﻊ‬ ‫)‪(Mohamed Irfan‬‬ ‫‪ /Authorised Signature‬ﺗﻮﻗﻴﻊ ﻣﻌﺘﻤﺪ‬

‫‪ /Invoiced By‬ﻓﺎﺗﻮﺭﺓ‬

‫‪/ Page No -1‬ﺗﻮﻗﻴﻊ ﻣﻌﺘﻤﺪ‬