PEPPOL BIS INVOICE
380 

Issue date: 
2015-03-01

Invoice Number: 
A245

Document currency 
SEK
Invoicing period
From:  2015-04-01  To:  2015-04-30 
Buyer's order number 

Supplier/Seller
Försäkringsbolaget vård AB
Handelsvägen 1
11122  Storstaden
SE
PartyID:  5555556666  [SE:ORGNR]
Company LegalID:  5555556666  [SE:ORGNR]
VAT no.:  SE555555666601  [SE:VAT]
Supplier's contact information
Inga Jansson
Customer/Buyer
Kundpoolen AB
Kundstigen 1
11133  Storstaden
SE
PartyID:  9933441122  [SE:ORGNR]
Company LegalID:  9933441122  [SE:ORGNR]
Customer's contact information
Måns Svanström

Additional information
Vid frågor angående fakturan ring 0771-76324198673 och ange organisationsnummer
Contract document reference
- ID:  74231 ( Document type:  Avtal vård)

Tax information (VAT on document)

Document totals
Document lines' total amount  Amount excl.VAT Total VATamount Amount incl.VAT Payable amount
750.00 SEK 750.00 SEK   750.00 SEK 750.00 SEK

Payment means:
Means code   Paym. channel Account no. Financial institution/operator Payment reference/OCR Due date
31 8889997  (LOCAL) BGABSESS  ( BIC ) 24501 2015-03-31

Line Item number Name Quantity Unit Net unit price Tax details Allowance/Charge(line) Line amount
1 6653457899 Arne Andersson 19680808-1111 1 C62   300.00 SEK VAT:  E,  0% 300.00  SEK
Description: ASSURE Vård Stor
Item property:  Forsakrad-PNR: 19680808-1111
Item property:  Formansvarde: 9.00
Additional information: Löpande premie
Item classification:  Premie  [SVLIV:Radtyp]
Item classification:  Sjukvard  [SVLIV:Formanstyp]
Item classification:  Ingen  [SVLIV:Skatteklass]
Item classification:  Tjanste  [SVLIV:Pensionslager]
Item classification:  Lopande  [SVLIV:Premietyp]
Invoicing period  From:  2015-04-01  To:  2015-04-30 
3 6700986574 Lena Larsson 19770808-2222 1 C62   200.00 SEK VAT:  E,  0% 200.00  SEK
Description: ASSURE Vård Bas
Item property:  Forsakrad-PNR: 19770808-2222
Item property:  Formansvarde: 6.00
Additional information: Löpande premie
Item classification:  Premie  [SVLIV:Radtyp]
Item classification:  Sjukvard  [SVLIV:Formanstyp]
Item classification:  Ingen  [SVLIV:Skatteklass]
Item classification:  Tjanste  [SVLIV:Pensionslager]
Item classification:  Lopande  [SVLIV:Premietyp]
Invoicing period  From:  2015-04-01  To:  2015-04-30 
4 6700986500 Medförsäkrad Tom Larsson 1 C62   250.00 SEK VAT:  E,  0% 250.00  SEK
Description: ASSURE Vård
Item property:  Forsakrad-PNR: 19791122-3333
Item property:  Huvudforsakrad-PNR: 19770808-2222
Item property:  Formansvarde: 250.00
Additional information: Löpande premie
Item classification:  Premie  [SVLIV:Radtyp]
Item classification:  Sjukvard  [SVLIV:Formanstyp]
Item classification:  Ingen  [SVLIV:Skatteklass]
Item classification:  Tjanste  [SVLIV:Pensionslager]
Item classification:  Lopande  [SVLIV:Premietyp]
Invoicing period  From:  2015-04-01  To:  2015-04-30 

Technical information:
The above represents one way of visualizing this  PEPPOL BIS INVOICE  transaction. The stylesheet is offered as a neutral, solution independent reference stylesheet for verification purposes. It has been prepared by SFTI (http://www.sfti.se) based on work by OIOUBL. The version number of this stylesheet is 1.0.
Technical references to this profile and transaction format are:
- UBLVersionID:
 2.1
- Profil Name:  PEPPOL BIS 4a, Invoice Only
- Profil ID: urn:www.cenbii.eu:profile:bii04:ver2.0
- CustomizationID:
 urn:www.cenbii.eu:transaction:biitrns010:ver2.0:extended:urn:www.peppol.eu:bis:peppol4a:ver2.0