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e-INVOICE/TAX INVOICE

Section A: Seller's Details


BRN: 35775
TIN: 1000295682
Legal Name: EXCEL INSURANCE COMPANY LIMITED
Trade Name: EXCEL INSURANCE COMPANY LIMITED
2 NKRUMAH ROAD CREST HOUSE KAMPALA KAMPALA KAMPALA
Address: CENTRAL DIVI KAMPALA CENTRAL DIVISION CIVIC CENTRE
Seller's Reference Number: TI/23/074776
Served by: EXCEL INSURANCE COMPANY LIMITED
Section B: URA Information
Document Type: Original
Issued Date: 06/09/2023
Time: 19:03:22
Device Number: TCSa80f401040887935
Fiscal Document Number: 123427563463
Verification Code: 12753811181485102331
Section C: Buyer's Details
TIN: 1000515513
Name: Mr. GEORGE MATANDA
Section D: Goods & Services Details
Unit Tax
No. Item Quantity Unit Price Total
Measure Category
1. MOTOR THIRDPARTY 1 Per annum 35,447.2 35,447.2 A
Section E: Tax Details
Tax Category Net Amount Tax Amount Gross Amount
A: VAT-Standard 30,040 5,407.2 35,447.2
(18%)
Stamp Duty 0 35,000 35,000
Section F: Summary
Net Amount: 30,040
Tax Amount: 40,407.2
70,447.2
Gross Amount: Seventy thousand four hundred forty-seven shillings and twenty cents.
Payment Mode
Credit 70,447.2
Total Amount to 70,447.2
be Paid
Currency: UGX
Number of Items: 1
Mode: Online
Risk Category: MTP ONLINE
Remarks: Policy No: P/074/2023/399391 DebitNoteRef: 1003232690
RegNo: UAL474E

*** END OF e-INVOICE/TAX INVOICE ***

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