Technical car company for car services DA Center - ‫ر ز ا د ر‬

Riyadh Center City - ‫د ا ر ز‬

09/11/2021 07:21:41 PM Print Date - ‫ر اط‬
27/07/2021 08:44:57 AM DA Date – ‫ر ا د ر‬
‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
27/07/2021 09:03:28 AM DA Completed Date – ‫ر إ لا‬
DA270721363 DA Report No - ‫ر م ا ر ر‬
Final Damage
RD240721678 Accident No - ‫ر م ا دث‬
Assessment Report
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
1/2 Pages - ‫ر م‬

‫د‬ ‫دا ر م‬ ‫د‬ Vehicle Owner Name / ‫كا ر‬ ‫ا م‬

‫ا ك‬
1032220186 ID / ‫ر م ا و‬ Owner

Vehicle Details
0506075190 Mobile No / ‫ر م ا وال‬

‫و تا ر‬
GMC Vehicle Manufacturer / ‫ا ر‬
‫و ون‬ Model / ‫ا ود ل‬
‫تا ر‬
Gold 2008 Color & Year / ‫ا ون وا‬
Vehicle Info
E B S 6568 Plate No / ‫رما و‬
1GKEK63848J121276 Chasis No / ‫ل‬ ‫رما‬
Technical car company for car services Estimated By / ‫ا د ر وا ط‬

Assessment Details
‫أ ور ا دي ا‬
2500.00 (A) Estimation Cost / ‫ا د ر‬ ‫ا‬ Labor Estimation

‫و تا در‬
‫ط ا ر‬
462.83 (B) Spare Parts Cost /‫ر‬ ‫ط ا‬
Spare Parts

‫ا‬ ‫أ‬
2962.83 (A+B) Total Cost / ‫ا‬ ‫ا‬
Final Estimation

‫ظت‬
Comments

‫ا د وا ط‬ ‫طر ا د‬ (%) ‫ا ؤو‬

Payment By Payment Method Liability(%)
Allianz Saudi Fransi Cooperative Insurance Co By Insurance Company 100
Technical car company for car services DA Center - ‫ر ز ا د ر‬
Riyadh Center City - ‫د ا ر ز‬
09/11/2021 07:21:41 PM Print Date - ‫ر اط‬
27/07/2021 08:44:57 AM DA Date – ‫ر ا د ر‬
‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
27/07/2021 09:03:28 AM DA Completed Date – ‫ر إ لا‬
DA270721363 DA Report No - ‫ر م ا ر ر‬
Final Damage
RD240721678 Accident No - ‫ر م ا دث‬
Assessment Report
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
2/2 Pages - ‫ر م‬

Spare parts final value Discount for total Spare parts cost Spare part dealer
‫ط ا ر‬ ‫ا‬ ‫ا‬ ‫ما‬ ‫ا‬ ‫ط ا ر‬ ‫ر ط ا ر‬

462.83 0% 402.46 Manif Al Nahdi Trading Group

‫ك‬ ‫ما‬ ‫ا ر د‬ ‫ك‬ ‫ا‬

‫م‬ ‫ا‬ ‫ا ر‬ ‫ا دد‬ ‫ا ط‬
Price after deduction of Consumption
Discount Price Quantity Spare part
consumption Ratio
‫ل‬ ‫و ط‬ ‫دام‬ ‫ز‬
402.48 50% 15% 947.00 1
15853598
‫ت‬ ‫د‬
60.35 50% 15% 142.00 1
15277756