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N
Rate (per
O
NAME OF EMPLOYEE Regular Regular Day Vale CA Deduction Net Amount
I
ST
of Hrs hour) SSS Pag-ibig Philhealth
PO
Work Wage HRS. AMT HRS AMT Amount Paid SIGNATURE OF PAYEE
I HEREBY CERTIFY that I have personally paid in cash to each employee whose name appears in the
above payroll the amount set opposite his name.
The amount paid in this payroll is P 21,950.00 including their overtime pay
( Date of Payment )