Tax Invoice /‫رة ا‬‫ا‬

SAP P.O.NO. 6511127076 ‫ب‬ ‫اء‬‫ ا‬‫ ٔا‬‫ر‬

Contract No 6601000295 ‫ ا‬‫ر‬
Vendor No 10006964 ‫ ا‬‫ر‬
Bank Account 001-151851-001 ‫ب ا‬‫ا‬
Bank Name SAUDI BRITISH BANK (SABB) ‫ ا‬‫ا‬
City RIYADH ‫ا‬
IBAN No SA43 4500 0000 0011 5185 1001 ‫ن‬ٔ‫ ا‬‫ر‬

Job Title: UPGRADE ELECTRICAL SYSTEM ‫ ﺗﺮﻗﻴﺔ اﻟﻨﻈﺎم اﻟﻜﻬﺮﺑﺎﺋﻲ ﻓﻲ ﻋﻴﻦ‬: ‫ﻣﺴﻤﻰ وﻇﻴﻔﻲ‬
AT AINDAR GOSP-3, 6, AND SHEDGUM ‫ دار‬GOSP-3&6 ‫ و ﺷﺪﻗﻢ‬GOSP-1:‫اﺳﻢ اﻟﻣﺷﺮوع‬
GOSP-1
Invoice Number LTSA-YEAR-XXX ‫رة‬‫ ا‬‫ر‬
Invoice Reference LT-ADSD-XXX ‫رﻗﻢ اﻟﻣﺮﺟﻊ‬
Invoice Date YEAR- MN-DAY ‫ﺗﺎرﻳﺦ اﻟﻔﺎﺗﻮرة‬

Delivery/Invoice Period YEAR-MN-DAY ‫رة‬‫ة ا‬

Invoice Type Progressive Invoice ‫ﻧوع اﻟﻔﺎﺗورة‬
Required CRCCD Approval No ‫ﮬﻞ ﯾﺗﻄﻠﺐ ﻣﻮاﻓﻘﺔ ﺳﻲ ار ﺳﻲ ﺳﻲ دي‬

Cost Centre N.A ‫ ا‬

Seller: ‫ا‬ Buyer: ‫ي‬‫ا‬

Name: Larsen and Toubro ‫و‬ ‫ ا‬‫ر‬  ‫ــــــ‬‫ا‬ Name: Saudi Arabian ‫ ا‬‫ ا‬ ‫ــــــ‬‫ا‬
Saudi Arabia LLC Oil Company ٔ
‫م‬.‫م‬.‫ ذ‬‫د‬‫ ا‬‫ا‬ (ARAMCO) ‫)ارا‬‫د‬‫ا‬
Additional info ٕ ‫ت ا‬‫ا‬ Additional info ٕ ‫ت ا‬‫ا‬
Building No. 5582 5582 ‫ ا‬‫ر‬ Building No. 4297 4297 ‫ ا‬‫ر‬
Street Name Imam Saud Bin  ‫د‬ ‫م‬‫ ا‬ ‫رع‬‫ ا‬‫ا‬ Street Name Eastern Avenue ‫ده ا‬‫ا‬ ‫رع‬‫ ا‬‫ا‬
Abdulaziz Bin
Mohammed Rd   ‫ا‬
District Riyadh City ‫ض‬‫ ا‬ ‫ا‬ District West Dhahran ‫ان‬‫ب ا‬  ‫ا‬
District
City Riyadh, KSA ‫ ا‬/ ‫ض‬‫ا‬ ‫ا‬ City Dhahran ‫ان‬‫ا‬ ‫ا‬
‫د‬‫ ا‬‫ا‬
Country Kingdom of Saudi ‫اﻟﻣﻣﻠﻛﺔ اﻟﻌﺮﺑﯾﺔ‬ ‫و‬‫ا‬ Country Kingdom of Saudi ‫اﻟﻣﻣﻠﻛﺔ اﻟﻌﺮﺑﯾﺔ‬ ‫و‬‫ا‬
Arabia ‫اﻟﺳﻌﻮدﯾﺔ‬ Arabia ‫اﻟﺳﻌﻮدﯾﺔ‬
Postal Code 12381 12381 ‫ي‬‫ ا‬‫ا‬ Postal Code 34465 34465 ‫ي‬‫ ا‬‫ا‬
Additional No. 6961 6961 ٕ ‫ ا‬‫ا‬ Additional No. 8091 8091 ٕ ‫ ا‬‫ا‬
VAT Number: 300056008600003 300056008600003 ‫ ا‬ ‫ر‬ VAT Number: 300000432310003 300000432310003 ‫ ا‬ ‫ر‬
‫ا‬ ‫ا‬
Other Seller ID: 1010154437 1010154437 ٔ
‫ى‬‫ ا‬- ‫ ا‬ Other Buyer ID: 2052101150 2052101150 ٔ
‫ى‬‫ ا‬- ‫ي‬‫ ا‬

Item Description Total Amount  SAR ‫دي‬‫ل ا‬ ‫ ٕا‬‫ا‬ ‫ت‬‫ا‬
1 Total Contract Price 639800000 ‫إﺟﻣﺎﻟﻲ ﻗﯾﻣﺔ اﻟﻌﻘﺪ‬
2 Cumulative Billing To Date * ‫اﻟﻔﺎﺗﻮرة اﻟﺗﺮاﻛﻣﯾﺔ‬
3 Previous Billing * ‫رة ا‬‫ ا‬
4 Previous Advance Recovery * ‫ ا‬‫داد ا‬‫ ا‬
5 Previous Saudization * ‫دة ا‬
6 Previous Retention * ‫ظ ا‬‫ا‬
 7 Current Billing = (2)-(3) * (2)-(3)= ‫رة ا‬‫ا‬
8 VAT 15% * % 15 ‫ ا‬‫ ا‬
9 Advance Payment Recovery Amount * %10 ‫ )ا‬‫ ا‬‫داد ا‬‫ ا‬
(Current) 10%
10 VAT on Advance Payment Recovery 15% * %15 ‫اﻟﺿﺮﯾﺑﺔ ﻋﻠﻰ اﺳﺗﺮداد اﻟﺪﻓﻌﺔ اﻟﻣﻘﺪﻣﺔ‬
11 Billing After Advance Payment Recovery(7-9) * 9-7 ‫ ا‬‫داد ا‬‫ ا‬ ‫رة‬‫ا‬
12 Saudization Deduction * ‫دة‬‫ ا‬ 
13 Billing After Saudization Adjustment(11-12) * 12-11 ‫دة‬‫ ا‬  ‫رة‬‫ا‬
14 Net VAT (8 - 10) * 10-8 ‫ا‬‫ ا‬
15 Billing value Including VAT(13+14) * 14+13) ‫)ﻗﯾﻣﺔ اﻟﻔﺎﺗﻮرة‬
16 Retention 6% * %6 ‫ظ‬‫ ا‬
17 Total Net Amount Due This Invoice (15 - 16) * 16 - 15 ‫رة‬‫ه ا‬ ‫ ا‬‫ ا‬ ‫ع‬
Amount in Words ‫وف‬ ‫ا‬
T*

Total amounts: SAR ٕ ‫ ا‬‫ا‬

Total amount in SAR (Excluding VAT) * ‫ون ا‬) ‫دي‬‫ل ا‬ ٕ ‫ ا‬‫ا‬
USD/SAR Rate 3.75 ‫دي‬‫ل ا‬‫ ا‬/ ٔ‫ر ا‬‫و‬‫ ا‬
Discount 0.00 ‫ﺧﺻﻢ‬
Total Taxable Amount in SAR (Excluding VAT) * ‫ون ا‬) ‫دي‬‫ل ا‬  ‫ ا‬ٕ ‫ ا‬‫ا‬
Total VAT in SAR 15% * %15 ‫دي‬‫ل ا‬ ‫ ا‬ٕ‫ا‬
Retention 6% * %6 ‫ظ‬‫ ا‬
Total Amount Due in SAR * ‫دي‬‫ل ا‬ ‫ ا‬ٕ ‫ ا‬‫ا‬

CONTRACTOR REPERSENTATIVE / ‫ﻣﻣﺛﻞ اﻟﻣﻘﺎﻮل‬

Project Manager:
PROPONENT APPROVAL / ‫اﻟﻣﻮاﻓﻘﺔ‬
GL Account / Cost Element / ‫ ا‬ ‫ب‬/ ‫ ٕال‬ ‫ب‬ Verified by / ‫ﺗﻢ اﻟﺗﺄﻛﺪ ﻣﻦ ﻗﺑﻞ‬ Tel No / ‫ ا‬‫ر‬
Plus one of the following (1,2,3 or 4)
4‫ او‬1,2,3    ‫ وا‬ٕ‫ ا‬ٕ 
1. Cost Center/ ‫ ا‬ Approved by /   ‫ا‬‫ ا‬ Badge No/ ‫رة ر‬
2. WBS / ‫ اس‬ ‫د‬ 
3.Plant MTC Order / ‫ ام‬ ‫م‬ Position / ‫اﻟﻮﻇﯾﻔﺔ‬ Tel / ‫ا‬
 
4. Internal Order / ‫ا‬‫م ا‬‫ا‬
Signature / ‫ا‬ Date / ‫ر‬‫ا‬
Approved Gross Amount
(SAR) / ‫دي‬ ‫ل‬‫ ر‬‫ ا‬‫ ا‬ٕ‫ا‬
This is computer generated invoice and do not require any stamp or signature.

NOTE: Star Mark represent Actual Value.