Anda di halaman 1dari 1
tntertek INTERTEK SAUDI ARABIA LTD. ween Office #213, Makkah Al Mukarramah St. Al Khobar - 31952 MILEAGE CLAIM FORM SHO rowed a et ee od ee Employees | a0 fap Tu _|eartype| rare Date patie Mee Reeciee | Description Standard / Offroad Total K.M. Fromm. | ToKM. Tis Tar mia | some | cous mi oneal AE ra freed | ass00 mma] eae | cone — orca aa Sins | owe | coor ai ofroad | asa00 6-Jun-18 ~ 60628 60769 ‘onsite Offroad 145.00 cores | coo ea ome ae DAT soos [oes ae otrend [tan 61069 61204 on site 5 Offroad 135.00 cio [aise aa oon tia | aoe aa ones | senon aos | ero — ofrosd | .00 HO ROUDAY ao Houok® rp Houoay Toit to HouDAY ena zip HoUDAY = use| _ame me ote tonsa _| sive | eae era fread | assen aiianas | ieee | enon ei Cm Pons FRONT wana] sass eane aa otc aaa EE cr ones | aan 25-Jun-18 62359 62514 “onsite Offroad 155.00 teins | _easu | eens ae creed (A Buna | ees | ean Sa i Es oo — Bane FRAY BRE) cscs] eeu ES ots SE Toarkw “Tas00 a TERED APPROVED NAME Fewad All Operations ee rs senna Date pate —