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
—