Damage Assessment Center in Al-Ahsa DA Center - ‫ر ز ا د ر‬

Ahsa Center City - ‫د ا ر ز‬

17/01/2024 03:16:08 AM Print Date - ‫ر اط‬
16/01/2024 02:58:02 PM DA Date – ‫ر ا د ر‬
16/01/2024 03:42:46 PM DA Completed Date – ‫ر إ لا‬ ‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
DA1601243993 DA Report No - ‫ر م ا ر ر‬
1 Version number of the report.- ‫رما‬
Final Damage
NA Last adjustment date - ‫ر آ ر د ل‬ Assessment Report
HA16012498 Accident No - ‫ر م ا دث‬
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
1/2 Pages - ‫ر م‬

‫ا را م‬ ‫ر‬ Vehicle Owner Name / ‫كا ر‬ ‫ا م‬

‫ا ك‬
1064591793 ID / ‫ر م ا و‬ Owner

Vehicle Details
0561991410 Mobile No / ‫ر م ا وال‬

‫و تا ر‬
TOYOTA Vehicle Manufacturer / ‫ا ر‬
‫رس‬ Model / ‫ا ود ل‬
‫تا ر‬
Gray 2015 Color & Year / ‫ا ون وا‬
Vehicle Info
T E J 9075 Plate No / ‫رما و‬
MR2BW6F37F1063393 Chasis No / ‫ل‬ ‫رما‬
Vehicle Damage Assessment Center in Al- Estimated By / ‫ا د ر‬ ‫ا‬
Ahsa
‫أ ور ا دي ا‬
100.00 (A) Estimation Cost / ‫ا د ر‬ ‫ا‬ Labor Estimation

Assessment Details
15.00 VAT (15%) / ‫ا‬ ‫ا‬ ‫ر‬

‫و تا در‬
612.75 (B) Spare Parts Cost /‫ر‬ ‫ط ا‬
‫ط ا ر‬
Spare Parts
91.91 VAT (15 %) / ‫ا‬ ‫ا‬ ‫ر‬

712.75 (A+B) Total Cost / ‫ا‬ ‫ا‬

‫ا‬ ‫أ‬
(A+B+VAT) Total Cost including VAT / ‫ا‬ Final Estimation
819.66
‫ا‬ ‫ر ا‬ ‫ا‬
‫ظت‬
‫ر‬ ‫ا‬ ‫رأة‬ ‫أ ور ا ر ب و د ن‬
Comments

‫ا د وا ط‬ ‫طر ا د‬ (%) ‫ا ؤو‬

Payment By Payment Method Liability(%)
Alrajhi Company for Cooperative Insurance By Insurance Company 100
Damage Assessment Center in Al-Ahsa DA Center - ‫ر ز ا د ر‬
Ahsa Center City - ‫د ا ر ز‬
17/01/2024 03:16:08 AM Print Date - ‫ر اط‬
16/01/2024 02:58:02 PM DA Date – ‫ر ا د ر‬
16/01/2024 03:42:46 PM DA Completed Date – ‫ر إ لا‬ ‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
DA1601243993 DA Report No - ‫ر م ا ر ر‬
1 Version number of the report.- ‫رما‬
Final Damage
NA Last adjustment date - ‫ر آ ر د ل‬ Assessment Report
HA16012498 Accident No - ‫ر م ا دث‬
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
2/2 Pages - ‫ر م‬

‫ا‬ ‫ر‬ ‫ا‬ ‫ا‬ ‫ر د‬ ‫ط ا‬ ‫ا‬ ‫ا‬

‫م‬ ‫ا‬
‫ا‬ ‫ا‬ ‫ا‬ ‫ر‬ ‫ما‬ ‫ا‬ ‫ا‬ ‫ا‬ ‫ورد ط ا ر‬
‫ا‬
Sparepart Final value (15%) Parts Final Value After Total cost Spare part dealer
Overall Discount
with VAT (15%) Overall Discount %
0500629443
704.66 91.91 612.75 0% 817.00
Manif Al Nahdi Trading Group

‫ك‬ ‫م وا‬ ‫دا‬ ‫ا‬

‫ك‬ ‫ا‬ ‫م‬ ‫ا‬ ‫ا‬ ‫ر ا و دة‬ ‫ا دد‬ ‫ط ا ر‬
Total After Discount
Consumption% Discount % Total Unit price Quantity Spare part
& Consumption

‫ر‬ ‫را‬
612.75 0% 25% 817.00 817.00 1
87940-0D700