/ ‫ﻃﻠـﺐﺧـﺪﻣـﺔ‬

‫أﻣـﺮﻋـﻤﻞ‬
Company Code: 4000
Service/Work
‫ﻘﺔ اﻟدﻓﻊ‬Order
Form ‫ طرﯾ‬No.: 15052 (05/15) - a ‫ﻴﺪة‬of‫ﺘﻔ‬1‫ﺴ‬ ‫ةا ﳌ‬
Page 1 ‫رﻣﺰاﻹدار‬ ‫رﻗﻢاﻹرﺗﺒﺎط‬ ‫ﺪ‬
1‫ﺨ‬‫ﻣﻦ‬‫اﻟ‬1‫رﻗﻢﻃﻠﺐاﻟﺨﺪﻣﺔ رﻗﻢإﺻﻋﻔﺘﺤﺎﻤﺔد‬ ‫ﻌﻘﺪ‬٥٠‫ﻗ )ﻢاﻟ‬٢٥٠٥١
‫ر‬ : ‫ﻤﻧﻮذجرﻗﻢ‬
Payment Type Date User Org. Code Fin. Commitment No. ‫ﻣﺔ‬ Service Order No. Contract
‫أ‬- ( No.
٥١ /
Service Entry No. ‫اﻟﺘﺎ‬
Unit Rate Feb 3, 2021 4211001 8500722130
‫رﻳ‬ 4400013200
Address ‫اﻟﻌﻨﻮان‬ ‫ﺦ‬
CONTRACTOR 1000542 ‫اﳌﻘﺎو‬
‫ل‬
Street Address:
P.O. Box: 2989 JAL INTERNATIONAL COMPANY LTD.
Postal Code: 31952 Region:
City: AL-KHOBAR
‫و ﺻﻒ‬ ‫اﳌﺠﻤﻮعاﻟﻔﻌﲇ‬ ‫اﻟﺒﻨﺪ‬
‫اﻟﺒﻨﺪ‬

Total Amount Item Description Item

‫عاﻟﻔﻌ‬‫اﳌﺠﻤﻮ‬ ‫ﺨﺔ‬
‫ﺪﻣ ﺔ‬ ‫ﻢﻠاﻟﻮﺑ‬
‫ﺨﺪﻣﺔارﳌﻗﻄ‬7‫اﻟ‬ ‫اﻟﻮﺣﺪة‬ ‫ﺳﻌﺮاﻟﻮﺣﺪة‬ ‫اﻟﻜﻤﻴﺔاﻟﺘﻘﺪﻳﺮﻳﺔ‬ ‫ا ﻟﻜﻤﻴﺔاﻟﻔﻌﻠﻴﺔ‬ ‫ﺪاﻟ‬
‫ﺪ‬ ‫ﻌﻘ‬‫ﺑﻨ‬
‫ﲇ‬

Total Amount Actual Quantity Estimated Quantity Unit Price Unit Service To Be Performed Service Number Contract Item

Services 10

8480.00 2.000 4,240.00 EA Troubleshoot annunciator system 1.1.11

Calibrate/repair TRF temperature
14310.00 6.000 2,385.00 EA 1.1.19
gauge
14058.00 6.000 2,343.00 EA Refill Tap Changer oil 1.1.30

26500.00 10.000 2,650.00 EA TRF oil Testing 1.1.33

Maint: SF6 Gas Purity in GIS
10600.00 2.000 5,300.00 EA 1.1.44
compartment
Maint:GIS Gas Moisture Test in
10600.00 2.000 5,300.00 EA 1.1.45
GIS compt
Maint:GIS Complete Bay for 3
9412.00 2.000 4,706.00 ST 1.1.53
phase
Timing Test of 34.5KVGIS Circuit
13356.00 14.000 954.00 EA 1.1.54
Breaker
Contact Resistance Test CB
13356.00 14.000 954.00 EA 1.1.55
Interrupters
13950.00 5.000 2,790.00 EA Insulation Test 1.1.67

7420.00 5.000 1,484.00 EA Turn Ratio Test of TRF 1.1.69

4240.00 2.000 2,120.00 EA Maintenance ground system 1.1.73

6668.00 2.000 3,334.00 EA Maintenance of UPS system 1.1.76

6360.00 2.000 3,180.00 EA Troubleshoot UPS system 1.1.77

Maint:Bus and Compartments for
10600.00 2.000 5,300.00 EA 1.1.46
SO2 Cont

‫ﺧﺼﻢ‬
Surcharge/ /
0.00 Disco‫رﺳﻮماﺿﺎﻓﻴﺔ‬
unt
‫اﳌﺠﻤﻮعاﻟﻜ‬ ‫اﻟﻌﻤﻠﺔ‬ In Amount Total ( :)Words (‫اﳌﺠﻤﻮعاﻟﻜﲇاﻟﻔﻌﲇ )ﺑﺎﻟﻜﻠﺎﻤت‬
169,910.00 Esti ‫اﻟﻘﻴﻤﺔاﻟﺘﻘﺪﻳﺮﻳﺔ‬ ‫ﲇ‬ SAR Currency
mated Actual
Total Amount**
‫اﻟﻘﻴﻤﺔاﻟﻔﻌﻠﻴﺔ‬
Actual

‫ﺗﺎرﻳﺦﺑﺪءاﻟﻌﻤﻞ‬ ‫ﺗﺎرﻳﺦاﻻﻧﺘﻬﺎء‬

‫اﳌﺘﻔﻖ‬ May 3, 2021 Target

‫ﻋﻠﻴﻪ‬
Feb 3, 2021
‫ﲇﻌ‬
‫اﻟﻔ‬ Completion Date Start Date
‫أﻋّﺪه‬
Actual
‫واﻓﻖﻋﻠﻴﻪ‬
SEC
SEC

bi
e:

e:

21
TRACTO
**Exclusive of Value added tax ( VAT) **