‫أﻣﺮ اﻟﺸﺮاء‬

‫ﺿﻊ ﺷﻌﺎر اﻟﻤﺆﺳﺴﺔ ﻫﻨﺎ‬

‫اﻟﺘﺎرﻳﺦ‬ ‫رﻗﻢ اﻟﻄﻠﺐ‬ ‫اﻟﻤﻮرد‬

‫‪0000-00-00‬‬ ‫‪00000‬‬ ‫اﺳﻢ اﻟﻤﻮرد‬

‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
‫اﻟﻌﻨﻮان‬
‫اﻟﻬﺎﺗﻒ‬
‫رﻗﻢ اﻟﺴﺠﻞ اﻟﻀﺮﻳﺒﻲ‬
‫إﺟﻤﺎﻟﻲ اﻟﻤﺴﺘﺤﻖ‬

‫س‪.‬ر‪SAR .‬‬ ‫‪0,000.00‬‬

‫اﻟﻤﺒﻠﻎ‬ ‫ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ‬ ‫اﻟﺴﻌﺮ‬ ‫اﻟﻜﻤﻴﺔ‬ ‫اﻟﺒﻨﺪ‪/‬اﻟﻮﺻﻒ‬

‫‪00.00‬‬
‫‪00.00‬‬ ‫‪00.00‬‬ ‫‪0‬‬ ‫اﺳﻢ اﻟﺼﻨﻒ‬
‫‪0%‬‬

‫‪00.00‬‬
‫‪SAR‬‬ ‫س‪.‬ر‪.‬‬ ‫اﻟﻤﺠﻤﻮع اﻟﺠﺰﺋﻲ‬
‫‪00.00‬‬ ‫‪SAR‬‬ ‫س‪.‬ر‪.‬‬ ‫إﺟﻤﺎﻟﻲ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ اﻟﻤﺒﻠﻎ اﻟﻤﺪﻓﻮع‬
‫‪00.00‬‬ ‫س‪.‬ر‪SAR .‬‬

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