*** START OF LEGAL RECEIPT ***

SAMORA AUTO SPARE PARTS
P.O. BOX:1138
STREET:SHAURIMOYO
TIN: 108677732
VRN: 400117651
SERIAL NUMBER:03TZ842007768
UIN: 01133F-11078151212757527403TZ842007768
TAX OFFICE: Tax Office Ilala
STREET:SHAURIMOYO
TIN: 108677732
VRN: 400117651
SERIAL NUMBER:03TZ842007768
UIN: 01133F-11078151212757527403TZ842007768
TAX OFFICE: Tax Office Ilala
CUSTOMER NAME: KAIRUKI HOSPITAL
CUSTOMER ID TYPE: TIN
CUSTOMER ID: 101038963
CUSTOMER VRN:
CUSTOMER MOBILE: N//A
RECEIPT NO: 4891
Z NUMBER: 2/1816
RECEIPT DATE: 2026-07-01
RECEIPT TIME: 13:22:35
Purchased Items
| Description | Qty | Amount |
|---|---|---|
| SPRING ZA MAGARI | 1 | 1,720,000.00 |
| TOTAL EXCL OF TAX: | 1,457,627.12 |
|---|---|
| TAX RATE A (18%) | 262,372.88 |
| TOTAL TAX: | 262,372.88 |
| TOTAL INCL OF TAX: | 1,720,000.00 |
RECEIPT VERIFICATION CODE
2E1DF404891