KNIGHTS OF COLUMBUS - LUZON NORTH JURISDICTION

OVERTIME SERVICES PAYMENT FORM

Name: Rodolfo P. De Guzman Date: December 10, 2018

DATE OF OT TIME OF OVERTIME NO. OF MINUTES PURPOSE

FROM TO
Nov.24 , 2018 whole day Drived with the State Officers led by SPD George Linda

TOTAL NO. OF HOURS Fixed Rate 800/Day Amount Pay P800.00

Rodolfo P. De Guzman
Employee signature

Approved for payment