Business Trip Reimbursement

ID No. 20506 Name: Abdulelah Algamri Department: Engineering

a Business Travel General Purchases

Per Diem PO Required (Attached)
Against Actual Invoice Petty Expenses (No PO Required)

Destination Al-Jubail
Purpose LECO inspection and sample preparation Others
Specify

Approved Travel Date(s) Actual Travel Date(s) Difference

Start Date 4-Mar-24 Start Date 4-Mar-24
End Date 7-Mar-24 End Date 7-Mar-24
No. of Days 3 No. of Days 3 0 Day(s)
Justification for Changes in Travel Dates:

Total Cash Advance (SR) - -

Less: Actual Expenses (Use Separate Sheet if Necsessary)
Ref. Inv. ITEM Curr. Amount Qty Unit Rate Total (SR) VAT (15%) Total (SR)
(F Currency) (VAT Excl.) (VAT Incl.)
Refer to the Attached below Hotel Bill SAR 127.66 3 127.66 392.55 57.45 450.00

Refer to the Attached below Food Bills SAR 15.00 1 15.00 15.00 2.25 17.25

Refer to the Attached below Food Bills SAR 18.26 1 18.26 18.26 2.74 21.00

Total Expenses (SR) 488.25

Net Due From/(To) Employee (488.25)

Remarks:

EMPLOYEE DEPT. HEAD HR DEPT FINANCE DEPT FINAL APPROVAL

Distribution: Original - Accounts Department, Copy - Employee Form FI 002

 ‫ﺍﻟﻔﺮﺣﺎﻥ ﻟﻸﺟﻨﺤﻪ ﺍﻟﻔﻨﺪﻗﻴﺔ )ﺍﻟﺠﺒﻴﻞ ‪ -‬ﺍﻟﺒﻠﺪ(‬ ‫ﺍﻟﻔﺮﺣﺎﻥ ﻟﻸﺟﻨﺤﻪ ﺍﻟﻔﻨﺪﻗﻴﺔ )ﺍﻟﺠﺒﻴﻞ ‪ -‬ﺍﻟﺒﻠﺪ(‬
‫‪Al Jubail‬‬ ‫ﺍﻟﺠﺒﻴﻞ‬
‫‪Al-Waha‬‬ ‫ﺍﻟﻮﺍﺣﺔ‬

‫‪CR No.‬‬ ‫‪2055133989‬‬ ‫ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ ‫‪VAT No.‬‬ ‫‪300888594100003‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﯾﺒﻲ‬

‫‪Simplified Tax Invoice‬‬ ‫ﻓﺎﺗﻮﺭﺓ ﺿﺮﻳﺒﻴﺔ ﻣﺒﺴﻄﺔ‬

‫‪Invoice No‬‬ ‫‪30433‬‬ ‫ﺭﻗﻢ ﺍﻟﻔﺎﺗﻮﺭﺓ‬

‫‪Invoice date‬‬ ‫)‪07/03/2024 (26/08/1445‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻔﺎﺗﻮﺭﺓ‬

‫‪Created on‬‬ ‫م ‪07/03/2024 07:13:09‬‬ ‫ﺃﻧﺸﺄﺕ ﻓﻲ‬

‫‪Res. No‬‬ ‫‪00869‬‬ ‫ﺭﻗﻢ ﺍﻟﺤﺠﺰ‬

‫‪Res.Period‬‬ ‫‪04/03/2024 - 07/03/2024‬‬ ‫ﻓﺘﺮﺓ ﺍﻟﺤﺠﺰ‬

‫‪Unit No.‬‬ ‫‪ 707‬ﻏﺮﻓﺔ ﻭﺣﻤﺎﻡ ‪ 2‬ﺳﺮﻳﺮ‬ ‫ﺭﻗﻢ ﺍﻟﻮﺣﺪﺓ‬

‫‪Unit Type‬‬ ‫ﻏﺮﻓﺔ ﻣﻔﺮﺩﺓ‬ ‫ﻧﻮﻉ ﺍﻟﻮﺣﺪﺓ‬

‫‪Buyer‬‬ ‫‪SPACE‬‬ ‫‪SPACE‬‬ ‫‪SPACE‬‬ ‫‪SPACE‬‬ ‫ﺍﻟﻤﺸﺘﺮﻱ‬

‫‪District‬‬ ‫‪---‬‬ ‫ﺍﻟﺤﻲ‬ ‫‪Guest Name‬‬ ‫ﻋﺒﺪ ﺍﻻﻟﻪ ﺍﻟﻌﻤﺮﻱ‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻴﻞ‬

‫‪Street‬‬ ‫‪---‬‬ ‫ﺷﺎﺭﻉ‬ ‫‪Mobile No‬‬ ‫‪00966532867764‬‬ ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ‬

‫‪Postal Code‬‬ ‫‪---‬‬ ‫ﺍﻟﺮﻣﺰ ﺍﻟﺒﺮﻳﺪﻱ‬ ‫‪Corporate‬‬ ‫‪---‬‬ ‫ﺍﻟﺸﺮﻛﺔ‬

‫‪Build / (Add) No.‬‬ ‫)‪--- / (---‬‬ ‫ﺍﻟﻤﺒﻨﻰ ‪) /‬ﺍﻹﺿﺎﻓﻲ(‬ ‫‪Country‬‬ ‫‪---‬‬ ‫ﺍﻟﺪﻭﻟﺔ‬

‫‪VAT No.‬‬ ‫‪---‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬ ‫‪City‬‬ ‫‪---‬‬ ‫ﺍﻟﻤﺪﻳﻨﺔ‬

‫‪Additional Seller's information‬‬ ‫ﻣﻌﻠﻮﻣﺎﺕ ﺍﻟﺒﺎﺋﻊ ﺍﻹﺿﺎﻓﻴﺔ‬

‫‪Building No.‬‬ ‫‪---‬‬ ‫ﺭﻗﻢ ﺍﻟﻤﺒﻨﻰ‬ ‫‪Country‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺍﻟﺪﻭﻟﺔ‬

‫‪Additional No.‬‬ ‫‪---‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻹﺿﺎﻓﻲ‬ ‫‪City‬‬ ‫ﺍﻟﺠﺒﻴﻞ‬ ‫ﺍﻟﻤﺪﻳﻨﺔ‬

‫‪Street‬‬ ‫ﻋﺒﺪﺍﻟﻌﺰﻳﺰ ‪King Abdulaziz Road‬‬ ‫ﺷﺎﺭﻉ‬ ‫‪District‬‬ ‫ﺍﻟﻮﺍﺣﺔ‬ ‫ﺍﻟﺤﻲ‬

‫ﺍﻹﺟﻤﺎﻟﻲ ﺍﻟﻜﻠﻲ‬ ‫ﻣﺒﻠﻎ ﺍﻟﻀﺮﻳﺒﺔ‬ ‫ﻧﺴﺒﺔ ﺍﻟﻀﺮﻳﺒﺔ‬ ‫ﺍﻹﺟﻤﺎﻟﻲ‬ ‫ﺍﻟﺨﺼﻢ‬ ‫ﺍﻹﺟﻤﺎﻟﻲ ﺍﻟﻔﺮﻋﻲ‬ ‫ﺍﻟﺴﻌﺮ‬ ‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﺍﻟﻮﺻﻒ‬
‫‪Grand Total‬‬ ‫‪Tax Amount‬‬ ‫‪Tax Rate‬‬ ‫‪Total‬‬ ‫‪Discount‬‬ ‫‪Sub Total‬‬ ‫‪Price‬‬ ‫‪QTY‬‬ ‫‪Description‬‬

‫ﺗﻜﻠﻔﺔ ﺍﻻﻳﺠﺎﺭ ‪Rental Amount /‬‬

‫‪440.43‬‬ ‫‪57.45‬‬ ‫‪15.00‬‬ ‫‪382.98‬‬ ‫‪0.00‬‬ ‫‪382.98‬‬ ‫‪127.66‬‬ ‫‪3‬‬
‫‪04/03/2024-06/03/2024‬‬

‫‪Lodging tax - Rental‬‬ ‫)‪(2.5 %‬‬

‫‪9.57‬‬ ‫‪0.00‬‬ ‫‪0.00‬‬ ‫‪9.57‬‬ ‫‪0.00‬‬ ‫‪9.57‬‬ ‫‪3.19‬‬ ‫‪3‬‬
‫ﺭﺳﻮﻡ ﺍﺷﻐﺎﻝ ﻣﺮﺍﻓﻖ ﺍﻻﻳﻮﺍﺀ ‪ -‬ﺍﻳﺠﺎﺭ‬

‫‪Totals‬‬ ‫‪SPACE‬‬ ‫ﺍﻟﻤﺒﺎﻟﻎ ﺍﻹﺟﻤﺎﻟﻴﺔ‬

‫‪Total not subject to VAT‬‬ ‫‪9.57 SAR‬‬ ‫ﺍﻟﻤﺒﺎﻟﻎ ﺍﻟﻐﻴﺮ ﺧﺎﺿﻌﺔ ﻟﻠﻀﺮﻳﺒﺔ‬

‫‪Total subject to VAT‬‬ ‫‪382.98 SAR‬‬ ‫ﺍﻟﻤﺒﺎﻟﻎ ﺍﻟﺨﺎﺿﻌﺔ ﻟﻠﻀﺮﻳﺒﺔ‬

‫)‪VAT (15%‬‬ ‫‪57.45 SAR‬‬ ‫ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ )‪(15%‬‬

‫)‪Grand Total (Including VAT‬‬ ‫‪450.00 SAR‬‬ ‫ﺍﻹﺟﻤﺎﻟﻲ ﺍﻟﻜﻠﻲ )ﺷﺎﻣﻞ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ(‬

‫‪Notes‬‬ ‫ﻣﻼﺣﻈﺎﺕ‬

‫ﻓﺎﺗﻮﺭﺓ ﻋﻠﻰ ﺍﻟﻌﻘﺪ ﺭﻗﻢ )‪. (869‬‬

‫ﻫﺎﺗﻒ ‪0133638288:‬‬ ‫ﺍﻟﺮﻣﺰ ﺍﻟﺒﺮﻳﺪﻱ ‪39953:‬‬ ‫ﺍﻟﺒﺮﻳﺪ ﺍﻻﻟﻜﺘﺮﻭﻧﻲ ‪alfarhan_hotel@yahoo.com:‬‬ ‫‪Page 1 of 1‬‬