A-ATMC-1-6-43-013, gujlo 9.459b cLailll @ Alinma Tokio Marine DEBIT NOTE on 1.4.1.01 RECEIVABLES - Corporate DEBIT NOTE No.: _ON-WRO-VBU2-22-29280 eal Nirvana Contacting Co Date: 31/os‘2022 ed nel ie Inst.Due Date 31vosi2022 ‘Address : At TakhassusifAt Takhassusi EAM i oa Ho Branch : WRO-JED1-VBU2 _ Broker: All Abdulkarim All Department : LABILITY rae a Policy /Cer.No.t: —P/10112/5/14201/2021/00136/E2 aga o a Policy Period : From: 13/06/2022 To:_ 19/10/2022 PS ha pe 8 EO oe Please note that we have Debited your account withthe following amount Description ‘Amount SAR [Being policy premium Public Liability Insurance Policy for 'P/40412/5/1420412021/00136/E2 5,400.00 Policy No lBeing VAT Amount at 15.00 % for Policy No Pr101128/14201/2021/00136/E2 810.00 aa 6,240.00 Total Jonly Six Thousands And Two Hundred And Ten Saudi Arabia Riyals [All Cheques to be prepared in favour of ALINMA TOKIO MARINE E&OE. Abdulkarim Sameer Kaki (Thie is computer generated no signature is required) Bank Dotalls ALINMA TOKIO MARINE COMPANY, INMA BANK, SA3205000068208666666001 www.atme.com.sa omit ya gms an a a Rants Bngee 865)‘SAMACODE, ‘SUMINSURED jlo g1sgh cLail! Alinma Tokio Marine A-ATMC-1.6-13.013 Page 1 of 1 Document Extension - Liability / Public Liability Insurance Policy wa SEs Endorsement dx: 2 Endorsement Dato: 91/5/2022 ro or es 2 Endorsement No, __: P/lorisezova0zt/01982 Endorsement Period: Fr: 18/6/2022 To : 13/10/2022 ipa UR ono e Policy No. + PHovraeaovaean1s6 _griginal Policy Period: _Fr_: 14/11/2021 Te : 14/9/2022 ao Polleyholder Code: 97710 iases Policy Type + Libilty / Public Liability Insurance Policy aga gs + Nirvana Contracting Co Policyholder suas Ae cata Sab az + SAR 5,400.00 Endorsement Sum Insured = SAR 00 ttis hereby agreed and declared that with effec rom 13/06/2022, the policy period has been extended til 13/10/2022 All other terms and conditions of the policy remain 285 AG AM BSA yy pA gan Unchanged,subject otherwise to the terms, provision and Bi Sal hy Ad eas ld HH, condition of the policy. 1 pak ul ASE oe Jp A ll hal in le et Inwitness whereof the undersigned being duly authorized FSA 933 Oe sell Hoad Offic by the Insurer and on behalf of the insurer has/have here 3115/2022 4 m= Unto set histheir hand(s) Issued at Head Office on 31/5/2022 gia ‘Authorised Signatory wwwaatmc.com.sa -agaual eisai il pga Slips. aes. quoi bl yu Jaa Banka Bjsgau 26s [A Saual Joint Stock Company, transacting in Insurance Business, Controlled and Supervised by SAMA SAMA ticense No1MN/33/20729 U.N: YOOT27200- Capital SAR 300 milion Jl 9a 30 Jal yo 70OT2T200 ya. 2029/8 a 2 ay og sul 5a ill end Of. ox et ied zt: 920008826 ss voces a8 Sen pean 200084 kaa Aly 68 GL / Bal 9 pl ll sa yall sa alu 909 al osu al / pgm Ayal dal 2 tina Aes: ead fe: S03, Aud Bln ewe, 2 fl ing Fahd, Olay, Radha Sud ablaTAX INVOICE 4p ne 5508 oujle gusgb «Lailll G Alinma Tokio Marine \ SEMAY-22 + Sit joes ONWRO-VBU2.22.29200 + Denen Invoice issue Date Invoice Number PHortaisr4z012021100196 + Aish os BEMAY22 : ed Poticy No Date of Supply (€UC000087710: Nivana Contacting : my cad Wisk Las ant co Buyer Seller EAM ol 7853 stel hc At gS oe Seg J 9089 sl ewose TakhasssitAt Takhassuel, Ji: Al BuyerAddress ayn staal Seller Address ‘Olaya Dist, 2st: RIYADH pion pepe yd Soudi Arabia, 812833 93,0) 3214 ah 310716324600003 : deal yp 300696186800003 : asl yt Buyer VAT No. Seller VAT No. 4010470513 + sang A a hy 4010342527 + chad yd dpa Buyer cr No ‘Seller GR No Public Labitty Insurance Policy : has fad att Nature of Goods or ‘Services 1300722 : oxtaning bs taJUN22 ny tye Policy Expiry Policy inception Please note that we have Debited your account with the following details below. ol ati a aly Ua ae Information| T SAR Soa lunit Price 5400.00 Ben lauantity | 1 ia {Total Taxable amount | $400.00 ipa eat [Discount details I 0.00 at etl IVAT percentage 16.00 Rapa {Tax amount 81000 tat a 6210.00 a