‫ﻓ ﺎ ﺗ ﻮ ر ة ﴐ ﻳﺒﻴ ﺔ‬

‫‪Tax Invoice‬‬

‫رﻗﻢ اﻟﻔﺎﺗﻮرة ‪Invoice Number /‬‬ ‫‪INV01/2022/09/0157‬‬

‫‪ / Invoice Issue Date‬ﺗﺎرﻳﺦ إﺻﺪار اﻟﻔﺎﺗﻮرة‬ ‫‪2022-09-08‬‬
‫‪ / Invoice Due Date‬ﺗﺎرﻳﺦ إﺳﺘﺤﻘﺎق اﻟﻔﺎﺗﻮرة‬ ‫‪2022-09-08‬‬
‫ﺗﺎرﻳﺦ اﻟﺘﻮرﻳﺪ ‪Date Of Supply /‬‬

‫‪/Buyer‬اﻟﻌﻤﻴﻞ‬ ‫‪/Seller‬اﳌﻮرد‬
‫‪ /Name‬اﻹﺳﻢ‬ ‫ﴍ ﻛ ﺔ ﻣ ﺤ ﻤ ﺪ ﻋ ﺒ ﺪ ﷲ ا ﳌ ﴩ ف اﻟ ﻌ ﻘ ﺎ ر ﻳ ﺔ‬ ‫‪Al Mojel Trading & Contracting‬‬ ‫‪ /Name‬اﻹﺳﻢ‬
‫‪Company‬‬
‫‪ /Street‬اﻟﺸﺎرع‬ ‫ﺣ ﻲ ا ﳌﻠ ﻘ ﺎ‬ ‫‪.Abu Baker St‬‬ ‫‪ /Street‬اﻟﺸﺎرع‬
‫‪/ City‬اﳌﺪﻳﻨﺔ‬ ‫‪Riyadh‬‬ ‫‪ /City‬اﳌﺪﻳﻨﺔ‬
‫‪/ Country‬اﻟﺒﻠﺪ‬ ‫ا ﳌ ﻤ ﻠ ﻜ ﺔ اﻟ ﻌ ﺮﺑ ﻴ ﺔ اﻟ ﺴ ﻌ ﻮ د ﻳ ﺔ‬ ‫‪ /Country‬اﻟﺒﻠﺪ‬
‫‪/Postal Code‬اﻟﺮﻣﺰاﻟﱪﻳﺪي‬ ‫‪13316‬‬ ‫‪ /Postal Code‬اﻟﺮﻣﺰاﻟﱪﻳﺪي‬
‫‪Vat Number‬‬ ‫‪311176109300013‬‬ ‫‪300044461100003‬‬ ‫‪Vat Number‬‬
‫ر ﻗ ﻢ ﴐ ﻳ ﺒ ﺔ اﻟ ﻘ ﻴ ﻤ ﺔ ا ﳌ ﻀ ﺎ ﻓ ﺔ‬ ‫ر ﻗ ﻢ ﴐ ﻳ ﺒ ﺔ اﻟ ﻘ ﻴ ﻤ ﺔ ا ﳌ ﻀ ﺎ ﻓ ﺔ‬

‫‪Subtotal‬‬ ‫‪Taxable‬‬
‫‪With VAT‬‬ ‫‪Amount‬‬
‫اﳌﺠﻤﻮع‬ ‫‪Tax Amount‬‬ ‫‪%Disc‬‬ ‫‪Tax‬‬ ‫ا ﳌﺒﻠ ﻎ اﻟ ﺨ ﺎ ﺿ ﻊ‬ ‫‪Qty‬‬ ‫‪Unit Price‬‬ ‫‪Product or Service‬‬
‫ﺑ ﺎﻟ ﴬ ﻳﺒ ﺔ‬ ‫ﻣﺒﻠ ﻎ اﻟ ﴬ ﻳﺒ ﺔ‬ ‫اﻟ ﺨ ﺼ ﻢ‬ ‫اﻟ ﴬ ﻳﺒ ﺔ‬ ‫ﻟﻠ ﴬ ﻳﺒ ﺔ‬ ‫اﻟ ﻜ ﻤﻴ ﺔ‬ ‫ﺳ ﻌ ﺮ اﻟ ﻮ ﺣ ﺪ ة‬ ‫ا ﳌﻨﺘ ﺞ ا و اﻟ ﺨ ﺪ ﻣ ﺔ‬
‫‪4,657.5‬‬ ‫‪607.5‬‬ ‫‪0.00‬‬ ‫‪15%‬‬ ‫‪4,050.0‬‬ ‫‪1.500‬‬ ‫‪2,700.00‬‬ ‫ﺣﺪﻳﺪ ﻣﻘﺎس ‪14‬ﻣﻠﻢ ﺳﺎﺑﻚ‬
‫ﻣﺒﻴ ﻌ ﺎ ت‬
‫‪ (Total(Excluding VAT‬اﻹﺟ ﱄ)ﻏ ﺷﺎﻣﻞ ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ( ‪/‬‬ ‫‪SR 4,050.00‬‬
‫‪ Discount‬ﻣﺠﻤﻮع اﻟﺨﺼﻮﻣﺎت ‪/‬‬ ‫‪SR 0.00‬‬
‫‪ / (Total Taxable Amount(Excluding VAT‬اﻹﺟ ﱄ اﻟﺨﺎﺿﻊ ﻟﻠﴬﻳﺒﺔ)ﻏ ﺷﺎﻣﻞ ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ(‬ ‫‪SR 4,050.00‬‬
‫‪ Total VAT‬ﻣﺠﻤﻮع ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ ‪/‬‬ ‫‪SR 607.50‬‬
‫‪ Total Amount Due‬إﺟ ﱄ اﳌﺒﻠﻎ اﳌﺴﺘﺤﻖ ‪/‬‬ ‫‪SR 4,657.50‬‬

‫ﺑﺮﺟﺎء اﺳﺘﺨﺪام ﻫﺬا اﳌﺮﺟﻊ ﻋﻨﺪ اﻟﺴﺪاد‪INV01/2022/09/0157 :‬‬

‫ﴍ و ط ا ﻟ ﺴ ﺪا د ‪ :‬ﺳ ﺪا د ﻓ ﻮ ر ي‬

‫‪011 4506410 info@almojelco.com https://www.almojelco.com Tax ID: 300044461100003‬‬

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