‫ﻓﺎﺗﻮرة ﺿﺮﻳﺒﻴﺔ‬

‫‪TAX INVOICE‬‬

‫‪Bill From‬‬ ‫ﻓﺎﺗﻮرة ﻣﻦ‬ ‫‪Bill To‬‬ ‫ﻓﺎﺗﻮرة اﻟﻰ‬

‫‪Name‬‬ ‫ﻣﻌﻬﺪ ﻛﺮاش ﻟﻠﺘﺪرﻳﺐ‬ ‫اﻻﺳﻢ‬ ‫‪Name‬‬ ‫ﻣﺴﺘﺸﻔﻰ اﻟﻤﻠﻚ ﻓﻴﺼﻞ اﻟﺘﺨﺼﺼﻲ‬ ‫اﻻﺳﻢ‬
‫‪Address‬‬ ‫اﻟﺮﻳﺎض ‪3253 2 7409-13247‬‬ ‫اﻟﻌﻨﻮان‬ ‫و ﻣﺮﻛﺰ اﻷﺑﺤﺎث ﻓﺮع ﺟﺪة‬
‫‪VAT No.‬‬ ‫‪310094688800003‬‬ ‫اﻟﺮﻗﻢ اﻟﻀﺮﻳﺒﻲ‬ ‫‪Address‬‬ ‫ﺟﺪة‬ ‫اﻟﻌﻨﻮان‬
‫‪CR No.‬‬ ‫‪1010611924‬‬ ‫اﻟﺴﺠﻞ اﻟﺘﺠﺎري‬

‫‪Invoice Number‬‬ ‫‪Draft‬‬ ‫رﻗﻢ اﻟﻔﺎﺗﻮرة‬

‫‪Invoice Date‬‬ ‫‪2023-01-26 08:26:14‬‬ ‫ﺗﺎرﻳﺦ اﻟﻔﺎﺗﻮرة‬
‫‪Supply Date‬‬ ‫‪2023-01-26‬‬ ‫ﺗﺎرﻳﺦ اﻟﺘﻮرﻳﺪ‬

‫‪t‬‬
‫‪Created By‬‬ ‫‪crash.com.sa‬‬ ‫ﺗﻢ اﻹﻧﺸﺎء ﺑﻮاﺳﻄﺔ‬

‫‪a‬‬ ‫‪f‬‬
‫‪#‬‬ ‫ﺗﻔﺎﺻﻴﻞ اﻟﺴﻠﻊ أو اﻟﺨﺪﻣﺎت‬ ‫ﺳﻌﺮ اﻟﻮﺣﺪة‬ ‫اﻟﻜﻤﻴﺔ‬ ‫اﻟﻤﺒﻠﻎ اﻟﺨﺎﺿﻊ ﻟﻠﻀﺮﻳﺒﺔ‬ ‫اﻟﻀﺮﻳﺒﺔ@ ﻧﺴﺒﺔ اﻟﻀﺮﻳﺒﺔ‬ ‫اﻟﻤﺠﻤﻮع‬
‫‪NATURE OF GOODS OR SERVICES‬‬ ‫‪UNIT PRICE‬‬ ‫‪QUANTITY‬‬ ‫‪TAXABLE AMOUNT‬‬ ‫‪TAX @TAX RATE‬‬ ‫‪TOTAL‬‬

‫‪r‬‬
‫‪1‬‬ ‫‪C/J032/22‬‬ ‫‪6,233.33‬‬ ‫‪1‬‬ ‫‪6,233.33‬‬ ‫‪935.00 @15%‬‬ ‫‪7,168.33‬‬

‫‪D‬‬
‫‪2‬‬ ‫‪C/J032/22‬‬ ‫‪6,233.33‬‬ ‫‪1‬‬ ‫‪6,233.33‬‬ ‫‪935.00 @15%‬‬ ‫‪7,168.33‬‬

‫‪3‬‬ ‫‪C/J032/22‬‬ ‫‪6,233.34‬‬ ‫‪1‬‬ ‫‪6,233.34‬‬ ‫‪935.00 @15%‬‬ ‫‪7,168.34‬‬

‫‪Subtotal Excl. VAT‬‬ ‫‪18,700.00‬‬ ‫إﺟﻤﺎﻟﻲ اﻟﻘﻴﻤﺔ ﺑﺪون اﻟﻀﺮﻳﺒﺔ‬

‫‪Taxable Amount‬‬ ‫‪18,700.00‬‬ ‫اﻟﻤﺒﻠﻎ ﺧﺎﺿﻊ ﻟﻠﻀﺮﻳﺒﺔ‬

‫)‪Total VAT (SAR‬‬ ‫‪2,805.00‬‬ ‫إﺟﻤﺎﻟﻲ اﻟﻀﺮﻳﺒﺔ )ر‪.‬س(‬

‫)‪Total Including VAT (SAR‬‬ ‫‪21,505.00‬‬ ‫اﻟﻤﺠﻤﻮع ﻣﻊ اﻟﻀﺮﻳﺒﺔ )ر‪.‬س(‬

‫إﺟﻤﺎﻟﻲ )ﺑﺎﻟﻜﻠﻤﺎت(‬
‫واﺣﺪ وﻋﺸﺮون أﻟﻒ وﺧﻤﺴﻤﺎﺋﺔ وﺧﻤﺴﺔ رﻳﺎﻻت‬
‫)‪Total (in words‬‬
‫‪Twenty One Thousand Five Hundred Five Saudi Riyal‬‬

‫‪ - VAT# 310094688800003‬اﻟﺮﻳﺎض ‪CR# 1010611924 - Phone - Address: 3253 2 7409-13247‬‬

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