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TOTALS
PAYROLL No: PROGRAM: DIVISION: REPLACE ME
480
746.88 - 6,497.81
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746.88 - - - - 6,497.81
No.
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DEPARTMENT OF HEALTH
Regional Office V
Legazpi City
PAYROLL
Salary of ________________________________________________________
We acknowledge receipt of cash shown opposite our name as full compensation for services rende
REPLACE ME NAPOLEO
Authorized official Date O
C. Certified: Supporting documents complete and proper, and cash available in D. Certified: Each employee wh
the amount of _________________________ paid the amount indicated o
DEDUCTIONS
NET
WTAX TOTAL REMARKS
HDMF PS PHIC SSS AMOUNT
(10%) DEDUCTIONS
746.88 - - - 970.94 6,497.81
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746.88 - - - 970.94 6,497.81
Payment: 6,497.81
NAPOLEON L. AREVALO,MD,MPH
OIC- DIRECTOR IV Date