‫ﻧ ﻤ ﺸ ﻲ ﻟﻠﺘ ﺠﺎ ر ة اﻟ ﻌﺎ ﻣ ﺔ ش ذ م م‬ ‫‪Namshi General Trading LLC‬‬

‫إﻋﻤﺎر ﻣﺠﻤﻊ اﻟﺬﻫﺐ واﻷﻟﻤﺎس‪ ،‬ﺑﻨﺎﻳﺔ ‪ ،3‬ﻣﻜﺘﺐ ‪3223‬‬ ‫‪Emaar Gold and Diamond Park, Building 3, Suite 3223.‬‬
‫ﺻﻨﺪوق ﺑﺮﻳﺪ‪ ،118529 :‬دﺑﻲ‪ ،‬اﻹﻣﺎرات اﻟﻌﺮﺑﻴﺔ اﻟﻤﺘﺤﺪة‬ ‫‪[Link]: 118529, Dubai, UAE‬‬
‫‪[Link]‬‬ ‫‪[Link]‬‬
‫ﻫﺎﺗﻒ‪00971800626744 :‬‬ ‫‪Phone: 00971800626744‬‬
‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ اﻟﻀﺮﻳﺒﻲ‪100211438500003 :‬‬ ‫‪TRN No.: 100211438500003‬‬

‫ﻓﺎﺗ ﻮ رة ﺿ ﺮﻳﺒﻴ ﺔ‬
‫‪Tax Invoice‬‬
‫ﻓﺎﺗ ﻮ رة ﻣ ﺤ ﺮ رة إﻟ ﻰ‬ ‫ﺗ ﻢ اﻟ ﺸ ﺤ ﻦ إﻟ ﻰ‬ ‫ﺗ ﻔ ﺎ ﺻﻴ ﻞ ا ﻟ ﻔ ﺎ ﺗ ﻮ ر ة‬
‫‪Invoiced To‬‬ ‫‪Shipped To‬‬ ‫‪Invoice Details‬‬
‫ﻣ ﺤ ﻤ ﺪ ﻓ ﻴ ﺼ ﻞ​‬ ‫ﻣﺤﻤﺪ ﻓﻴﺼﻞ​‬ ‫‪ SA5701821‬رﻗﻢ اﻟﻔﺎﺗﻮرة اﻟﻀﺮﻳﺒﻴﺔ‬
‫‪Mohammad Faissl‬‬ ‫‪Mohammad Faissl‬‬ ‫‪Tax Invoice No:‬‬
‫‪+966-58-2643621 , +966-58-2643621,‬‬ ‫‪+966-58-2643621 , +966-58-2643621,‬‬ ‫ﺗﺎ رﻳ ﺦ اﻟ ﻔﺎﺗ ﻮ ر ة‬ ‫‪21/12/2020‬‬
‫ﻛ ﻴ ﻤ ﺲ ﻫ ﻴ ﻠ ﺚ​‬ ‫ﻃﺮﻳﻖ اﻟﻤﻠﻚ ﻓﻴﺼﻞ ‪ -‬ﺑﺎﻟﻘﺮب ﻣﻦ​‬ ‫‪Invoice Date:‬‬
‫اﻟﺸﺎرع‪ :‬ﻣﺴﺘﺸﻔﻰ ﻛﻴﻤﺲ؛ رﻗﻢ اﻟﻤﻨﺰل‪​:‬‬ ‫ﻣﺴﺘﺸﻔﻰ ﻛﻴﻤﺰ اﻟﺼﺤﻲ ‪ -‬ﻣﻨﺰل ‪509‬‬ ‫ر ﻗ ﻢ اﻟ ﻄﻠﺒﻴ ﺔ‬ ‫‪SA8C5429839‬‬
‫‪ 509‬؛‬ ‫‪king faisal road - near KIMS HEALTH‬‬ ‫‪Order No:‬‬
‫‪KIMS HEALTH‬‬ ‫‪hospital - house 509‬‬
‫;‪Street: Kims Hospital; HouseNo: 509‬‬ ‫ﻞ‬
‫اﻟ ﺠﺒﻴ ​‬
‫ا ﻟ ﺠ ﺒ ﻴ ﻞ​‬ ‫‪Jubail‬‬
‫‪Jubail‬‬ ‫ﺔ‬
‫اﻟ ﻤ ﻤ ﻠ ﻜ ﺔ اﻟ ﻌ ﺮﺑﻴ ﺔ اﻟ ﺴ ﻌ ﻮ دﻳ ​‬
‫ا ﻟ ﻤ ﻤ ﻠ ﻜ ﺔ ا ﻟ ﻌ ﺮ ﺑ ﻴ ﺔ ا ﻟ ﺴ ﻌ ﻮ د ﻳ ﺔ​‬ ‫‪Saudi Arabia‬‬
‫‪Saudi Arabia‬‬

‫​ اﻟ ﻤﻨﺘ ﺠﺎ ت‬
‫‪Items‬‬
‫ﺿ ﺮ ﻳﺒ ﺔ‬
‫ﺑ ﻄﺎ ﻗ ﺔ‬ ‫ﺳﻌ ﺮ‬ ‫اﻟ ﺴﻌ ﺮ ﺑﻌ ﺪ‬ ‫ا ﻟ ﻘﻴ ﻤ ﺔ‬ ‫اﻟ ﺴﻌ ﺮ‬
‫ﺗﻌ ﺮﻳ ﻒ‬ ‫ر ﻗ ﻢ ا ﻟ ﻤﻨﺘ ﺞ‬ ‫اﻟ ﻮ ﺻ ﻒ‬ ‫ا ﻟﻠ ﻮ ن ا ﻟ ﻘﻴ ﺎ س‬ ‫ا ﻟ ﻮ ﺣ ﺪ ة ا ﻟ ﻜ ﻤﻴ ﺔ‬ ‫اﻟ ﺨ ﺼ ﻢ‬ ‫اﻟ ﻤ ﻀﺎ ﻓ ﺔ‬ ‫ا ﻟ ﻌ ﻤﻠ ﺔ ا ﻟ ﻜﻠ ﻲ‬
‫ا ﻟ ﻤﻨﺘ ﺞ‬ ‫‪Item No.‬‬ ‫‪Description‬‬ ‫‪Size‬‬ ‫‪Color‬‬ ‫‪Qty‬‬ ‫‪Unit‬‬ ‫‪Discounted‬‬ ‫‪0%‬‬ ‫‪Total Currency‬‬
‫‪Item ID‬‬ ‫‪Price‬‬ ‫‪price‬‬ ‫‪VAT (0‬‬ ‫‪Price‬‬
‫)‪%‬‬

‫‪46937829‬‬ ‫ﻧﻈﺎرة ﺷﻤﺴﻴﺔ ‪18864AC42LHP-‬‬ ‫‪OS‬‬ ‫ا ﺳﻮد‬ ‫‪1‬‬ ‫‪56.52‬‬ ‫‪36.74‬‬ ‫‪0.00‬‬ ‫‪36.74‬‬ ‫ر‪ .‬س‬
‫‪2S‬‬ ‫وا ي ﻓ ﻴ ﺮا ر‬ ‫‪Black‬‬ ‫‪SAR‬‬
‫‪Polarised‬‬
‫‪Wayfarer‬‬
‫‪Sunglasses‬‬

‫‪46937830‬‬ ‫ﻧﻈﺎرة ﺷﻤﺴﻴﺔ ‪11136AC28YKP-‬‬ ‫‪OS‬‬ ‫‪ 1‬ا ﺳﻮد ‪-‬‬ ‫‪56.52‬‬ ‫‪36.74‬‬ ‫‪0.00‬‬ ‫‪36.74‬‬ ‫ر‪ .‬س‬
‫‪2S‬‬ ‫ا ﻓﻴﻴﺎﻳﺘ ﻮ ر ﻣ ﺮﺑ ﻌ ﺔ‬ ‫ر ﻣﺎد ي‬ ‫‪SAR‬‬
‫‪Square‬‬ ‫‪Black-‬‬
‫‪Aviator‬‬ ‫‪Grey‬‬
‫‪Sunglasses‬‬

‫‪-‬‬ ‫‪-‬‬ ‫ر ﺳ ﻮ م اﻟ ﺨ ﺪ ﻣ ﺔ‬ ‫‪-‬‬ ‫‪-‬‬ ‫‪1‬‬ ‫‪26.09‬‬ ‫‪26.09‬‬ ‫‪0.00‬‬ ‫‪26.09‬‬ ‫ر‪ .‬س‬
‫‪Service Fee‬‬ ‫‪SAR‬‬

‫اﻟ ﻤ ﺠ ﻤ ﻮ ع ا ﻷ ﺳﺎ ﺳ ﻲ ﻟﻠ ﻤﻨﺘ ﺠﺎ ت‬ ‫‪113.04‬‬ ‫ر‪ .‬س‬

‫‪Items Subtotal‬‬ ‫‪SAR‬‬
‫ﻗ ﺴﻴ ﻤ ﺔ اﻟ ﺨ ﺼ ﻢ‬ ‫‪-39.56‬‬ ‫ر‪ .‬س‬
‫‪Discount Voucher‬‬ ‫‪SAR‬‬
‫ر ﺳ ﻮ م اﻟ ﺨ ﺪ ﻣ ﺔ )ﺑﺎ ﺳﺘﺜﻨﺎ ء ر ﺳ ﻮ م‬ ‫‪26.09‬‬ ‫ر‪ .‬س‬
‫)اﻻﺳﺘﻼم ﻋﺒﺮ اﻟﺤﺪود‬ ‫‪SAR‬‬
‫‪Service Fees (excluding cross‬‬
‫)‪border handling charges‬‬
‫ﻗﻴ ﻤ ﺔ اﻟ ﻔﺎﺗ ﻮ ر ة )ﺑﺎ ﺳﺘﺜﻨﺎ ء ر ﺳ ﻮ م‬ 99.57 ‫ س‬.‫ر‬
‫)اﻻﺳﺘﻼم ﻋﺒﺮ اﻟﺤﺪود‬ SAR
Invoice Value (excluding
cross border handling
charges)

‫ر ﺳ ﻮ م ا ﻻ ﺳﺘ ﻼ م ﻋﺒ ﺮ اﻟ ﺤﺪود‬ 14.93 ‫ س‬.‫ر‬

Cross border handling SAR
charges
‫ﻗﻴ ﻤ ﺔ اﻟ ﻔﺎﺗ ﻮ ر ة )ﺑ ﻤﺎ ﻓ ﻲ ذﻟ ﻚ ر ﺳ ﻮ م‬ 114.50 ‫ س‬.‫ر‬
‫)اﻻﺳﺘﻼم ﻋﺒﺮ اﻟﺤﺪود‬ SAR
Invoice Value (including cross
border handling charges)
‫ا ﺟ ﻤﺎﻟ ﻲ اﻟ ﻔﺎﺗ ﻮ رة‬ 114.50 ‫ س‬.‫ر‬
Invoice Balance SAR