Sep 12, 2011

R3 INPUT FUNCTION
R3 MONTHLY COLLECTION LIST

page:1 of 2

M
E
T

EMPLOYER ID NO
: 03-9169338-8
EMPLOYER NAME
: MEDICAL TRENDS AND TECHNOLOGIE
APPLICABLE MONTH : 082011
FAMILY NAME
ABEJO
ANACIO III
BAUTISTA
BERNARDO
BUGAY
CABANERO
CAITUM
CAMONAYAN
CANAPI
CATAPANG
CATRAL
CATRAL
CATRAL
CATRAL
CATRAL
CATRAL
CATRAL JR.
CATUBAG
CENTENO
CHAN
CORRALES
CRUZ
CUSTODIO
DELA CRUZ
DELA CRUZ
DUMALI
DUMLAO
ESER
FELIX
FLORES
FUENTES
GARCIA
GARDUQUE
GERON
IBANEZ
IBARDALOZA
IPAPO
ISALES
JUANE
MAGO
MAKALINTAL
MALAPIT
MANIQUIS
MARQUEZ
MENDIOLA
MESA
MESINA
MINONG
NUNEZ
OROGO

GIVEN NAME

MI

ROTCHIE
U
ARCADIO
C
ISIDORA
F
MICHELLE
D
THERESE MARGUERD
KRISTALYN
B
DEONERI
M
MAUREEN FE
B
FELICIANO
P
VANNEZA JOYCE D
ALBERT ANTHONY G
JAMES JOSEPH
G
JOSE ALBERTO
R
MANUEL WILLIAM S
NICHOLAI
G
RYAN
G
JOSE ALBERTO
I
JASON
M
KIMBERLY GIE
R
DIANNE PHILLINEG
MAURO
C
MELODY
S
KARLA KAMLA
S
GIOVANNE DOMINIP
MIKE ANTHONY
C
LOVELY GRACE
R
TIMOTHY CARL
S
APRIL
C
JOSE RAMON
S
BERNADITA
B
JOEY
S
RUDOLFO MIGUEL G
KRISTINE FAYE R
BERNICE
C
MARIA ANA
R
ROMINA
D
MA.VIRGINIA
S
YOLANDO
A
DUN JILLIAN
A
MA.ROSARIO
P
MARIE RUCCIELLEG
EFREN
M
SAMUEL NAZIRITEF
PRINCESS KARINAM
GILBERT
E
ANNA CERYS
C
MAY ANN
V
CHARLIE
I
MICHAEL
S
RICHELLE
P

E
S
L

I
C

L
A

1560.00
1560.00
936.00
1040.00
1352.00
520.00
1092.00
1560.00
1092.00
1040.00
1560.00
1560.00
1560.00
1560.00
1560.00
1560.00
1560.00
1560.00
520.00
1300.00
1560.00
1560.00
468.00
1560.00
1508.00
520.00
1196.00
1560.00
1560.00
1560.00
1560.00
1560.00
1560.00
1040.00
1352.00
1144.00
1560.00
1248.00
1560.00
1196.00
1560.00
988.00
1560.00
1196.00
1560.00
520.00
1508.00
1560.00
1560.00
1040.00

Y
T
I

30.00
30.00
10.00
10.00
10.00
10.00
10.00
30.00
10.00
10.00
30.00
30.00
30.00
30.00
30.00
30.00
30.00
30.00
10.00
10.00
30.00
30.00
10.00
30.00
10.00
10.00
10.00
30.00
30.00
30.00
30.00
30.00
30.00
10.00
10.00
10.00
30.00
10.00
30.00
10.00
30.00
10.00
30.00
10.00
30.00
10.00
10.00
30.00
30.00
10.00

RMRK
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

Y
T
I

R
U

C
E

S
L

A
I
C

E.C.

M
E
T

S
Y

R
U

C
E
S

S.S.

TY

33-2765836-5
09-2600808-9
34-1186469-6
02-1185946-4
34-1447709-3
34-2809948-3
33-4471541-4
01-1628906-1
34-1743842-4
34-1072440-7
33-6052563-3
34-2559623-5
03-5401612-2
01-1633376-8
01-1869967-5
33-7853573-8
34-1484191-7
01-1535881-2
34-1958990-2
34-1912567-0
33-2231997-1
33-2059784-7
34-1043356-5
07-2012335-1
33-7845586-3
34-1003703-9
34-2522852-9
33-9753917-1
34-1146970-3
33-6543398-2
33-1597578-8
34-1718717-3
34-0329276-8
04-2314038-5
33-2922617-7
04-1236806-8
03-9962753-4
34-1001362-6
34-0033879-3
05-0542091-0
33-8652240-3
03-6350412-0
34-2688561-5
34-1837366-9
34-1091865-3
34-2809822-2
34-0327868-5
01-1725024-8
33-4765944-1
33-7916734-1

U
C

SO

O
S

SS NUMBER

I
R

A
I
C

S
Y
S

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

DTHRD

M
E

T
S
Y

Sep 12, 2011

R3 INPUT FUNCTION
R3 MONTHLY COLLECTION LIST

page:2 of 2

M
E
T

EMPLOYER ID NO
: 03-9169338-8
EMPLOYER NAME
: MEDICAL TRENDS AND TECHNOLOGIE
APPLICABLE MONTH : 082011
FAMILY NAME
PALMONES
PIDO
PINUELA
PLAZA
RUNIO
SALAMERO
SAMANIEGO
SEVILLA
SHINN
SUGUITAN
SUIZA
SURATOS
TABIOLO
TATO
TORRES
TURARAY
TURARAY
UGALINO
UGALINO
YUTUC
ZAMORA

GIVEN NAME

MI

ANTONIO
RYAN JAMES
JORELYN
RYAN JOY
JEAN CLAUDINE
MARK ALLAN
ROXANNE CORINA
FRANCIS JOHN
ANNA KARENINA
MARY JANE
ARTHUR
BERNARDA
EDRICK IAN
MICHELLE ANN
RAMON
JOEY
OLGA
EALAINE
MARDY
THOMAS RAYMOND
JONATHAN

B
P
C
D
C
C
D
M
S
G
T
J
G
V
C
D
S
R
S
T
O

SS NUMBER

SO

COLLECTION TOTAL:

S.S.

TY

08-0920046-7
34-2664881-0
33-8484671-2
33-8675767-6
04-2388301-1
34-1198647-7
34-2030225-9
33-5138641-2
34-2525493-3
33-8716179-5
34-0340600-4
03-9154428-8
09-2360096-9
34-2549459-9
33-5607755-1
08-1444214-2
34-0635961-1
33-8488523-6
33-4906332-3
34-1863927-7
34-1023066-1

I
R

U
C

E
S
L

A
I
C

S
Y
S

1144.00
1040.00
1560.00
520.00
1040.00
884.00
1560.00
1560.00
1196.00
1040.00
1560.00
1560.00
1560.00
1196.00
1560.00
936.00
936.00
1560.00
1560.00
1560.00
1040.00

E.C.

10.00
10.00
30.00
10.00
10.00
10.00
30.00
30.00
10.00
10.00
30.00
30.00
30.00
10.00
30.00
10.00
10.00
30.00
30.00
30.00
10.00

M
E
T

RMRK
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

DTHRD

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

SOCIAL SECURITY: 92,508.00 E.C.: 1,450.00

S
Y

Y
T
I

R
U

L
A

C
E
S

M
E

T
S
Y

I
C

O
S

Y
T
I

R
U

C
E

S
L

A
I
C