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583799960135869661161

KSA
Order Request
Reference : 583988860/I358 Page : 1
Order Type : Service Change Order Date : 01/12/2019
Print Date : 01/12/2019 19:21:30
Name : ‫ﻣﺣﻣد اﺣﻣد ﺳﻌﯾد‬ Contract : 10998752366
Civil id : 100949630974415
VAT ID No : 3066976456463374

Subscriber No : G 0 98469987458

IMSI No : 42128545643543 - PLI

Notes : CCM's Call to API for CONP

Service Id Description Info. Oty Rental Inst. Discount Prorated Amt VAT 15% Taxed Aoumt Deposit
SUB IPH 11 PURPLE 128GB 354004108320478 1 .00 4,694.78 .0 5399.00 704.22 .00 .00

Total 5399.00 5399.00 .00 .00 .00

Advance Amount 5,399.00 Paid Amount 5,399.00

User Signature Subscriber Signature

User Id/Area ID2572/FQA

On behalf of
Actual order date

Ash shuhada, Ghurnata business


park, 13241 Riyadh, Saudi Arabia
T: +966 59 000 0959
F: +966 59 244 4440
www.sa.zain.com

http://saryapps40.sa.zain.com:7777/reports/rwservlet?server=rep_saryapps40_FRHome1.. 01/12/2019

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