SERVICE ACCEPTANCE FORM

Date:- August 24 -2022

PROJECT
⁄ SERVICES Purchase Order no:- Contract

MAINTENANCE Purchase Request no:-

Contract

REPAIR

EQUIPMENTS

MANPOWER
Supply / Transport Service Done by Abid Abdulrahman Al
⁄ OTHERS PLEASE SPECIFY :
Sobhi Co. With INVOICE numbers : 1570 and 1571 for
month of July 2022

DEPT. / USER AL Watania Gypsum Company

SUPPLIER'S NAME : Abid Abdulrahman Al Sobhi Co
S/N GOODS / SERVICES / DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL COST

Supply / Transport Service Done by Abid

Abdulrahman Al Sobhi Co. With INVOICE
1 1 LOT 24,710.010 24,710.01
numbers : 1570 and 1571 for month of July
2022

TOTAL( SAR) 24,710.01

NET PAYABLE AMOUNT Twenty Four Thousand , Seven Hundred Ten and 1/100 Saudi Riyals

TO BE FILLED UP BY THE DEPARTMENT USER / NOTE : PAYMENT SUBJECT TO THE INSPECTION REMARKS. ( IF ANY )

S/N
ACCEPTED IF REJECTED / REASON FOR REJECTION
APPROVED BY AUTORIZED
SIGNATORIES
YES NO

1 ⁄ Engr. Kariem Noweer

Prepared By:- Noted By :-

Name:- Engr. Roy Padayogdog Name :- Engr. Kariem Noweer

Sign:- Signature approved by email Sign:- Signature approved by email

Approval :- Approval :-

Engr. Engr. Ramadan Kotb

Sign:- Signature approved by email

Rev.Date:-22/01/2011
Rev.no:00 1Of 1 PU014
 Abed Abdulrahman Al Sobhi & Sons Ltd. Co 6l3lJl o.rY3i3 s.ri.4ll O.s.!|.\p +1,,e ASli
For Transport €Jl dii$

c.a. ur06016038-Buitding No. 8835 8835 : c/t+" d,r - a700016038 : & - <-y,
P.O. Box:786 Zip Code: 46436 46436 : d+jllj.Jll - 786 : +. e
Tel: 014-3913333 Fax: 014-39 L2528 3912528-014 : gst! 3913333-014 : ,-i:Lr
Prince Muqrin Street-Yanbu, K S A. AL5OEHI a;l.g*Jt ;;UdliSt".tt - C+.,1 - O-r!. **il c*_A
Tn&N5?*p,7
VAT: 301261769400003 30126"1769400003 : <*'r#tt pJt
* *"r- o.rgrlg
W Tax Invoice
*__-*^_,*_-*_^ .1,

r3*:::r:?u:ft9 _ *_ _Y:3Y*:uyyY:
2:!?:?!-? . i

Y*,"3*l:u.r.3?: -u::too
3 ; 24 5463 0 0 ; 24546 3 0 0 6 ; 2a5 5ot 1 i

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Customer Nr: . ,. C0OOO6
I

E)ggdJl E .;eJl ASl'mJl

SAUDI AMBIA
i - ---'- *' * --- -
:

i,***wl - **'rte p"a; t 3LOO98909910003

durrer'cy'.SAR
6t- 44 *e6*riq*ie?z t3n7t ?rt*q quantity VeAe& &^m**wZ WKY */x VTVaZW&T V*tal
Kxa\-V&T &"ffiewwt" &&ten $Y.

L iJ 380:9s9Jl u.r; 0.025000 632,655.0000 .i) 15,816.37 15.00 2,372.46 18,188.83

"b

It*zt"z {tsde: 4" 5000004

Total Deliveries : 020 Invoice Subtotal: sAR 15,816.37

Total Before VAT: sAR 15,816.37
Total VAT Amount: saR 2,372:46
( Saudi Riyal Eighteen Thousand One Hundred Eighty-EightAnd 83 / 100 Onty ffiTotal Amornt sAR 18,188.83
)

BASED ON DELIVERIES OF HFO 3BO QTTY 632655.00 LITRES @ SR 0.025/LITRE LAND TRANSPORT (20 TRIP5) FROM ARAMCO YANBU
TO AL WATANTYA FOR GypS DURING THE PERIOD : 01.A7.202i - Zt.Ot.ZOZZ (JULY 2022)

G l ,a 2 2---zt >--).-
Signature Date
.)'-j\,*_"r\
!' ;r;-r,, \
a{k,t.,
"rit,
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rG. r.t .h,

{.i:l}: ?h*ne: ,14-3913333 *ar.?.l4at?,e'. 21YA* *11.AK

lax Aii{.|;, Faz: 0:4-393?-52* lla*l A:i:Jt;r,t.'t 1t12t5':559r1*
Leaaii,t",ar'l?i9 f."?tail: ir2llJ t& el' t**ht.(.+ x I 3**k t*at:: ?.1*'...

Vt*ltttt:: \i:ww. At -50b*i. Ce tt|. Tax t\)r.: C.*t:r

'witri./&1c
T4x tD t4* V A1 3 * "r7h "t
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Printed Date ; 2210812022

Printed By : BASSAM MUTHI

ALLS(}BFIItz Sales Delivered Quantity Report

r ,lA ANtt..qatZ ,t

* lDr
DeliveryDate. I CustomerCode Customer Name Item Cod€ Item Name : Agrmt No. Deliverd QrY: UOM
'!rr &-ru o.yiJl.;e: 03r..;Jl lul No. I :;.!,rl eiJ rtlJltul bt ,rFir btrllg"l .t, A.L6J| a*A5Jl; Code

t-' ir$Jte.'PJ l

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: t*lrEyr 1

L 07/07/2022 c00005 6{J'.Jl oa+! af-brl a'aJl 245445537 I 747736 i MOHAMMED HUSAIN s000004 Ji 380 rttl $J cFj ; 198 31,193.3560; LTR
SHOKAT AtI

2 o4/o7/2022 c00006 6r9r*Jl r+dj an b3Jt 6rdt 245463003 : 143208 MOHAMMEDASLAM 5000004 , 380 rJ3 l c*) Ji.i 30,638.6170 I LTR

3 04/07/2022 c00006 i)Jr4Jl o4+U;+$rl at/l 245463001 1 743277 iMOHAMMEDASLAM s000004 ,1380 ritrsj ulii 198 tt,gZZ.ZSgO: Ea
:

4 04/07/2022 c00006 : 6lJri.Jl o-F! ;*.!^tl6lJl 245463006 | r432L2 :MOHAMMEDASLAM s000004 Jd 380 rirl ci Jii 198 31,870.9080 i LTR

5 06/07/2022 c00005 : 6{J-.Jl o-}alJ :lrLrl l5JiJl 245508332 t47757 MOHAMMEDASLAM s000004 ril380 rirla.i rln 198 32,237.0670 I LTR

5 07/o7/2022 c00006 i 6r.rs.Jl u"+a! {i'rl i'/Jl 245508413 | 744ala :MOHAMMEDASLAM s000004 Ji 380 Jirl c9 rli.; 198 3I,849.4760
I

i fiR

7 ro/07/2022 c00006 I 6JJJa.Jl

o.?+! i*rltl 4tJdl 245508459 144802 MOHAMMEDASLAM s000004 JiJ 380 rirlaJ Jij 198 sz,zss.raso: Lrn

8 13/0712022 c00006 : 68rJIo4+J i4'1-tl 1'JrJl 245550151 t 744884 :MOHAMMEDASLAM s000004 Ji 380 Jirl c., clij 1q9 32,019.6900
i
I LTR

r4/o7/2022 c00006 !).reJl !++! arlrlat/l 245550160 : IM893 MOHAMMED ASLAM s000004 .n 380 rJgrl ca Lliu 198 ar,OgO.gtZO: ltn
,

10 17/07/2022 c00006 6IJJA.JI L"{+! a/,rl 6J"r.Jr 245599064 : L4/.A99 IBRAHIMKHANCHAYAL s000004 Ji 380 rirr+j J'j 198 31,014.5580
I
i LTR
t
I

11 7e/o7/2022 c00006 6JJJa.Jl s-++! :r J^tr :5/l 245599079 1 I47r54 : IBRAHIM KHANCHAYAL s000004 j 380 rirr sj Jij 198 rz,zso.os+o I rn
1
;
1) 6{Ja.Jl oa+.! it-brl 6JiJl ,
79/07/2022 c00006 24s599089 7M842 I IBRAHIM KHAN CHAYAI s000004 iJ 380 ritls.j J.aj 32,24s.9680; LTR

: 1

2Uo7/2022 c00006 6r.reJl u4+! ,*-J.rl isriJl 245550r20 144873 ; ROAIS UDDIN MOHAMMAD s000004 Jil 380 rirl c.]j $j 198 32,012.6360: LTR
: EAKUE
t

74 2710712022 c00006 6).rsall La+! i/,I'rl at/l 245550L46 144878 MOHAMMED ASLAM 5000004 ,;J 380JJ,irlca Jij lqR 31,024.1040 i LTR

15 22/07/2022 c00005 6i.rJ'4jl o.:'+J 1j' Ltl atJr,Jl 245706644 147152 : MOHAMMEOASLAM 5000004 Ir'l380rttlejJ6 198 30,984.2150
a

LTR
:
'
26/07/2022 6Ur'Jlo"Fu 4^J,rla'/l
tl
16 c00006 24570679L 147165 MOHAMMEDASLAM s000004 , 380 rjprld+, Jij ; 198 )!,tqa.rJ1v Lt n

77 28/07/2022 c00006 : 6r3r:Jt eaqljglCt 6JjJt 245706407 rAgSgS, NrlOl-ill\rlf,rlED ASLAM s000004 JiJ 380 Jjlrl +i Jii I rge 30,998.1910:
a

LTR
t
I
I

29/07/2022 c00006 i 6)Jr.Jl o4+! :g.l^rl eSJJJl 24570681t 146711 : MOHAMMEDASLAM s000004 ri 3So rirl ci Jii , ttt 32,221.4930:
I
tTR
: I

I
19 30/o7/2022 c00006 6)JbJl o4+U i,il'rl 6riJl 245706422 146714 MOHAMMEDASLAM s000004 380 )J.arlc9j &i
i
1 LgA 30,99s.9340
J4, i LTR

:
20 3r/o7/2022 c00006 : 6{J'.Jl o.*}J ,r,Ltl at/Jl 245706a32 145716 : MOHAMMEDASLAM s000004 ra 380 r93Jr ce; .p.; trt 32,213.5780:
:
LTR

I
Total Deliverd qW Cii,ess.oooo I
a.r.L6jl a#SJl JldJ

Page 1 of '1
 Abed Abdulrahman Al Sobhi & Sons Ltd. Co 6.t3.r:dl o.rY3i3 cr-r+..4'!1 ,i,cr;Jl.rp r.tc 4s.;.1

-.For T?ansport cs:Xll cj3.ill

C.R. 4700015038-Building No. 8835 8835 : .,/l# dl - 4700016038 : a - cr

P.O. Box:786 Zip Code: 46436 46436 : crrJ"Jill j.JJl - 786 : +. (F
Tel: 014-3913333 Fax: 014-39L2528 3912528-01 4 : gstl 391 3333-01 4 :,-l3Lr
Prince Muqrin Street-Yanbu, K S A. AIEOSHI a;l,f-,ll Jlt-rrlliSt".tt - - OJt" *.yl
T?,*,NSPO?.7 C**, c'"_A
VAT : 301261769400003 301261769400003 : c+Fl d,ll
W *t* it,rsrb
W rax Invoice
t,
ivrY:1 *:_ HZr _ W'Y* _ 3!:!?_?l9"?
_ : t

iY*wr W*{*r*rzt*; 24555O257; 245599028; 245550267 ; 245671 i

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*... .... * * -... ".. -..., _ *....... t

.:
i{,w*tazvz*r74*z *::, C00006 i

J***)l za*Z; ti:9r>Jl u*! a,tgE; *-"'

46538-8623 3a,.1, 8623-46538 iil,,ll , 1 p.ii.r 6l>sJl ,4769 #ar;*
q.t)gtuJ| q./reJl aS1^"il
SAUDI AMBIA i

,3&e.31 - e*.*.* pe"z; 310098909910003

*srrenry'.SAR
6r-# We*xrip?*wm 4Jxrt Wriqq &aa{tt** ,.t*M Ve*e, &r**a*{ztr WAY 8/* T*talV&T Y**eZ
*xa\"V&Y h$taunt &we*tlY.

L )iJ J;;ar .f.nr 0.022500 252,026.3000 ,r) 5,670.59 6,521.18

\!.uy', Ca<3c: il, 5000002

Total Deliveries: 007 Invoice Subtotal: sAR 5,670,59

Total Before VAT: sAR 5,670.59
Total VAT Amount: sAR 850:59

( Saudi Riyal Six Thousand Five Hundred Twenty-One And 18 / 100 Only ) fiTotal Amount sAR 6,521.18

BASED ON DELIVERIES OF DIESEL QTW 252,026.300 LTTRES @ SR 0,0225/LITRE - LAND TMNSPORT (7 TRIPS) FROM AMMCO
YANBU TO AL WATANIA FOR GYPS DURING THE PERIOD: 04.07.2022 - 30.A7.2022 (JULY 2022)

Signature Date 3l - o2" >-'<t>->

e.{:*: 77,Ar*'. ,1.4-39133i3 Ga*lAafie: 7.1Yt\* nAUl

"Tax
Afc,z1 ?ax. *"14-3*1252* {,e*k h{-caatzt.') 11 J215l)t5',,r.1t)
HeA':it4.,?t4"'.tS Y.14atl: i1i * (i) al " :,a*ri. Lc ||| Vark dod?: *t&t,
Vtth.,tt: wwv.r.arsorr.i.Crl? TaY. Xt.: 5\,t,?.1*1C Clae.

T?'x I* t*a.: V h1'3{J 77* 17 119 4 A{}* A 3 T*hN: 9 P,8 3V3 A*ft* fi :'. 1. :, 2 1 9lj 5 599 4B
 '{

Printed DatB :, 2310812022

Printed By: BASSAM MUTHI

lil Sales Delivered Quantity Report

t t elEry Date. Customer Name Dellverd QTYI UoM
i+3r &tE 09..illpl 4J*JessJl: Code
f+-lll I
I

brl Srrt ll
1

1 6+r'.Jl oa+j, {+ 199 35,003.1000: ra

tTR
t
i
,
i
oilo7/2022 !
I
c00006 6+JaJl !-+aX rs$rl 6Jrl 245ss0267
:
1IT4831 i IBRAHIM KHAN CHAYAL s000002 -r1 el}"J.1a 199 36,Oo2.eooo i
I
LTR
I

I
i
7010712022 , c00006 6JJe.Jlo./+! a+J,rl6/l 245599028 144794 : IBRAHIM KHAN CHAYAL s000002 .lJ.lrrJ- 199 se,oos.+ooo , LTR
1

rslo7/2022 i c00006 6rrb.Jl . 4+! 1.,.!"rl6r.trl 1214858 i IBRAHIM (HAN CHAYAL s000002 :.t d;p J.l; 36,003.6000 LTR
t
j 1

18/07/2022 ;
t
c00006 ;).ru^Jl e.++X
:i, Lrl i5rrl 245675244 144ESA i VUHIIMMAD ADNAN NAZIR s000002 /J.i;r.;; 19s
,

I 36,004.7000 LTR

i i AHMAD t
l
6 24/07/2022 I C0oo05 sijr^Jl 1"4+x aJ$rl l'Jijl 24573544€ 145610 I MUHAMMADADNAN NAZIR s000002 .iJ.l}J Jij 1se 35,005.2000 LTR
I
AHMAD i

7 30107/2022 j
t

cooooe 6{r:^ll ua+l, -*L11 6J^:Jl 245793970 X46715 i MUHAMMADADNAN NAZIR s000002 ,drJJn lqq
I
I
I
36,003.4000
t

! :

i AHMAD
t t
i
Total Deliverd QW ; 2sa,026.tw i
a&^,la*.$JL+l j
,

Page 1 of 1