<?xml version="1.0" encoding="utf-8"?>
<!--
Licensed under European Union Public Licence (EUPL) version 1.2.
-->
<!-- XML instance generated by Andreas Pelekies -->
<!-- Example 9: Licenses for EN16931 -->
<!-- Timestamp: 2017-08-24 00:00:00 +0200 -->
<rsm:CrossIndustryInvoice xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="urn:un:unece:uncefact:data:standard:CrossIndustryInvoice:100 ../schema/D16B%20SCRDM%20(Subset)/uncoupled%20clm/CII/uncefact/data/standard/CrossIndustryInvoice_100pD16B.xsd"
xmlns:qdt="urn:un:unece:uncefact:data:standard:QualifiedDataType:100"
xmlns:udt="urn:un:unece:uncefact:data:standard:UnqualifiedDataType:100"
xmlns:rsm="urn:un:unece:uncefact:data:standard:CrossIndustryInvoice:100"
xmlns:ram="urn:un:unece:uncefact:data:standard:ReusableAggregateBusinessInformationEntity:100">
<rsm:ExchangedDocumentContext>
<ram:GuidelineSpecifiedDocumentContextParameter>
<ram:ID>urn:cen.eu:en16931:2017</ram:ID>
</ram:GuidelineSpecifiedDocumentContextParameter>
</rsm:ExchangedDocumentContext>
<rsm:ExchangedDocument>
<ram:ID>20150483</ram:ID>
<ram:TypeCode>380</ram:TypeCode>
<ram:IssueDateTime>
<udt:DateTimeString format="102">20150401</udt:DateTimeString>
</ram:IssueDateTime>
<ram:IncludedNote>
<ram:Content>Vriendelijk verzoeken wij u ervoor te zorgen dat het bedrag voor de vervaldatum op onze rekening staat onder vermelding van
het factuurnummer. Het bankrekeningnummer is 37.78.15.500, Rabobank, t.n.v. Bluem te Amersfoort. Reclames gaarne binnen
10 dagen. Gelieve bij navraag en correspondentie uw firma naam en factuurnummer vermelden.
</ram:Content>
</ram:IncludedNote>
</rsm:ExchangedDocument>
<rsm:SupplyChainTradeTransaction>
<ram:IncludedSupplyChainTradeLineItem>
<ram:AssociatedDocumentLineDocument>
<ram:LineID>1</ram:LineID>
</ram:AssociatedDocumentLineDocument>
<ram:SpecifiedTradeProduct>
<ram:Name>IExpress licentiekosten</ram:Name>
<ram:ApplicableProductCharacteristic>
<ram:Description>Verbruikscategorie</ram:Description>
<ram:Value>Start</ram:Value>
</ram:ApplicableProductCharacteristic>
</ram:SpecifiedTradeProduct>
<ram:SpecifiedLineTradeAgreement>
<ram:NetPriceProductTradePrice>
<ram:ChargeAmount>49</ram:ChargeAmount>
<ram:BasisQuantity unitCode="MON">49</ram:BasisQuantity>
</ram:NetPriceProductTradePrice>
</ram:SpecifiedLineTradeAgreement>
<ram:SpecifiedLineTradeDelivery>
<ram:BilledQuantity unitCode="MON">3</ram:BilledQuantity>
</ram:SpecifiedLineTradeDelivery>
<ram:SpecifiedLineTradeSettlement>
<ram:ApplicableTradeTax>
<ram:TypeCode>VAT</ram:TypeCode>
<ram:CategoryCode>S</ram:CategoryCode>
<ram:RateApplicablePercent>21</ram:RateApplicablePercent>
</ram:ApplicableTradeTax>
<ram:BillingSpecifiedPeriod>
<ram:StartDateTime>
<udt:DateTimeString format="102">20160401</udt:DateTimeString>
</ram:StartDateTime>
<ram:EndDateTime>
<udt:DateTimeString format="102">20160401</udt:DateTimeString>
</ram:EndDateTime>
</ram:BillingSpecifiedPeriod>
<ram:SpecifiedTradeSettlementLineMonetarySummation>
<ram:LineTotalAmount>147</ram:LineTotalAmount>
</ram:SpecifiedTradeSettlementLineMonetarySummation>
</ram:SpecifiedLineTradeSettlement>
</ram:IncludedSupplyChainTradeLineItem>
<ram:ApplicableHeaderTradeAgreement>
<ram:SellerTradeParty>
<ram:Name>Bluem BV</ram:Name>
<ram:SpecifiedLegalOrganization>
<ram:ID>32081330 Amersfoort</ram:ID>
</ram:SpecifiedLegalOrganization>
<ram:DefinedTradeContact>
<ram:TelephoneUniversalCommunication>
<ram:CompleteNumber> 033-4549055</ram:CompleteNumber>
</ram:TelephoneUniversalCommunication>
<ram:EmailURIUniversalCommunication>
<ram:URIID>info@bluem.nl</ram:URIID>
</ram:EmailURIUniversalCommunication>
</ram:DefinedTradeContact>
<ram:PostalTradeAddress>
<ram:PostcodeCode>3825 AL</ram:PostcodeCode>
<ram:LineOne>Lindeboomseweg 41</ram:LineOne>
<ram:CityName>Amersfoort</ram:CityName>
<ram:CountryID>NL</ram:CountryID>
</ram:PostalTradeAddress>
<ram:SpecifiedTaxRegistration>
<ram:ID schemeID="VA">NL809163160B01</ram:ID>
</ram:SpecifiedTaxRegistration>
</ram:SellerTradeParty>
<ram:BuyerTradeParty>
<ram:Name>Provide Verzekeringen</ram:Name>
<ram:PostalTradeAddress>
<ram:PostcodeCode>2402 NR</ram:PostcodeCode>
<ram:LineOne>Henry Dunantweg 42</ram:LineOne>
<ram:CityName>Alphen aan den Rijn</ram:CityName>
<ram:CountryID>NL</ram:CountryID>
</ram:PostalTradeAddress>
</ram:BuyerTradeParty>
<ram:ContractReferencedDocument>
<ram:IssuerAssignedID>iExpress 20110412</ram:IssuerAssignedID>
</ram:ContractReferencedDocument>
</ram:ApplicableHeaderTradeAgreement>
<ram:ApplicableHeaderTradeDelivery/>
<ram:ApplicableHeaderTradeSettlement>
<ram:PaymentReference>2015 0483 0000 0000</ram:PaymentReference>
<ram:InvoiceCurrencyCode>EUR</ram:InvoiceCurrencyCode>
<ram:SpecifiedTradeSettlementPaymentMeans>
<ram:TypeCode>30</ram:TypeCode>
<ram:PayeePartyCreditorFinancialAccount>
<ram:IBANID>NL13RABO0377815500</ram:IBANID>
</ram:PayeePartyCreditorFinancialAccount>
<ram:PayeeSpecifiedCreditorFinancialInstitution>
<ram:BICID>RABONL2U</ram:BICID>
</ram:PayeeSpecifiedCreditorFinancialInstitution>
</ram:SpecifiedTradeSettlementPaymentMeans>
<ram:SpecifiedTradeSettlementPaymentMeans>
<ram:TypeCode>30</ram:TypeCode>
<ram:PayeePartyCreditorFinancialAccount>
<ram:IBANID>NL13RABO0377815500</ram:IBANID>
</ram:PayeePartyCreditorFinancialAccount>
</ram:SpecifiedTradeSettlementPaymentMeans>
<ram:ApplicableTradeTax>
<ram:CalculatedAmount>30.87</ram:CalculatedAmount>
<ram:TypeCode>VAT</ram:TypeCode>
<ram:BasisAmount>147</ram:BasisAmount>
<ram:CategoryCode>S</ram:CategoryCode>
<ram:RateApplicablePercent>21</ram:RateApplicablePercent>
</ram:ApplicableTradeTax>
<ram:SpecifiedTradePaymentTerms>
<ram:DueDateDateTime><udt:DateTimeString format="102">20150415</udt:DateTimeString></ram:DueDateDateTime>
</ram:SpecifiedTradePaymentTerms>
<ram:SpecifiedTradeSettlementHeaderMonetarySummation>
<ram:LineTotalAmount>147</ram:LineTotalAmount>
<ram:TaxBasisTotalAmount>147</ram:TaxBasisTotalAmount>
<ram:TaxTotalAmount currencyID="EUR">30.87</ram:TaxTotalAmount>
<ram:GrandTotalAmount>177.87</ram:GrandTotalAmount>
<ram:DuePayableAmount>177.87</ram:DuePayableAmount>
</ram:SpecifiedTradeSettlementHeaderMonetarySummation>
</ram:ApplicableHeaderTradeSettlement>
</rsm:SupplyChainTradeTransaction>
</rsm:CrossIndustryInvoice>