NICOLAS TIME SRL

Satellic NV Principala 469

00800-72 83 55 42 550128 Sibiu
support@satellic.be Romania
Leonardo Da Vincilaan 19 A
Postbox 4
B-1831 Diegem
BELGIUM
+32 2 416 0 416

Overview Statement N°: 2023-4016800816

Date of Document: 05.04.2023
Road User N°: 2011689 RO37100254

Road User Charging for Heavy Goods Vehicles

OVERVIEW STATEMENT from 16.03.2023 to 31.03.2023

The Belgian Regions levy a toll for the use of taxable roads on each motor vehicle or combination of vehicles,
whether or not exclusively, for the road transport of goods where the gross combination weight mass exceeds 3,5 tons.

Licence Plate Number Euro Emission Class Gross Combination Weight Rating [kg] OBU ID

RO - SB14AHS EURO VI 60.000 000410001763649

Region / Amount Amount

Reference VAT
Concession Holders (€, excl. VAT) (€, incl. VAT)

Brussels Capital 2023-BRS-2006902353 2,91 ./. 2,91

Flanders 2023-FLN-1018115568 470,76 ./. 470,76
SOFICO 2023-SFC-3010993010 10,58 21% 2,22 12,80
Amount Due 484,25 2,22 486,47

Amount Due
Payment Means Request Date
Invoice paid (€, incl. VAT)

prepaid 05.04.2023 486,47

The General Terms and Conditions of Satellic NV apply. (http://www.satellic.be/media/956)

Questions or objections?
If you have questions or if you do not agree with this overview statement you can contact Satellic NV:

Satellic NV • Leonardo Da Vincilaan 19 A • Postbox 4 • B-1831 Diegem •

VAT BE.0556.799.596 • RPR Brussel • support@satellic.be • www.satellic.be