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Branch : AXA Online Business
Receipt No. : 3611430
Issue Date : 21/05/2020 : ﺃﻟﺘﺎﺭﻳﺦ
Client Number : 1073593 : ﺃﻟﺮﻗﻢ
Client Name : Mohammad KHAN : ﺃﻷﺳﻢ
Address : Unknown 1 AL JUBAIL SAUDI ARABIA : ﺃﻟﻌﻨﻮﺍﻥ
Received From : : ﻭﺻﻠﻨﺎ ﻣﻦ
Base Premium : 636.00 SAR : ﺍﻟﻘﺴﻂ ﺍﻷﺟﻤﺎﻟﻲ
No Claim Discount : 2.00 SAR : ﺍﻟﺨﺼﻢ
Claim Loading : 0.00 SAR : ﺍﻟﻤﺒﻠﻎ ﺍﻟﻤﻀﺎﻑ ﻟﻮﺟﻮﺩ ﺣﻮﺍﺩﺙ
Remark : 1351303 : ﻣﻼﺣﻈﺔ
TOTAL : 666.00
: ﺃﻟﻤﺠﻤﻮﻉ
Six hundred sixty six and 00/100 Saudi Riyal ﻫﻠﻠﺔ ﻓﻘﻂ ﻻ ﻏﻴﺮ٠٠ ﺳﺘﻤﺎﺋﺔ ﻭ ﺳﺘﺔ ﻭ ﺳﺘﻮﻥ ﺭﻳﺎﻝ ﺳﻌﻮﺩﻱ ﻭ
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