CLAIM STATEMENT
for the recovery of debt under the contract
City of Astana
“_____”____________2018
According to the Supply Contract №______ dated ________ (hereinafter referred to as the “Contract”) concluded between LLP “Алга” and LLP “Кайту”, LLP “Альфа”
on __________ delivered to LLP “Beta” the goods – “_____________________”
in accordance with invoice № ___ dated _____, railway waybill _______ dated _________ (railway car № _______) for the amount of __________ (in words).
According to clause _ of the Contract, payment for the Goods is due within ____ calendar days after the arrival of the batch of goods; however, to date, LLP “Бета” (hereinafter referred to as the respondent) has not fulfilled its payment obligation for the Goods.
The respondent justifies its refusal to pay for the received Goods in the Claim dated _________.
No proper evidence, as provided by the Contract with LLP “Альфа” and international agreements (Agreement on International Freight Traffic), has been submitted.
Considering the established and undisputed fact of delivery of the goods, the debt of LLP “Бета” to LLP “Альфа”, and the absence of the supporting documents specified in the Supply Contract №__________ dated _________, confirming the non-compliance of the Goods with the Contract, LLP “Альфа”, exercising its rights, applies to the Arbitration Center in accordance with the Arbitration Agreement (arbitration clause) set out in clause _ of the Contract, for resolution of the dispute on the merits.