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Date: _________________

EMPLOYEE:__________________________________

TOTAL WAGES FROM ____________________ TO ________________________

BREAKDOWN OF WAGES: DEDUCTIONS

BREAKDOWN OF WAGES: DEDUCTIONS


BASIC: ________________ SSS _____________
OVERTIME: ________________ PHILHEALTH _____________
HOLIDAYS: ________________ PAGIBIG _____________
NSD: ________________ SSS LOAN _____________
F. ALLOWANCE _______________ SALARY LOAN _____________
OTHERS: ADVANCE: _____________
LEAVE: _____________
OTHERS
TOTAL WAGES: ____________ TOTAL DEDUCTIONS: __________

NET AMOUNT PAID: _____________

RECEIVED PAYMENT: ___________


__________________________________________________________________________________________________

Date: _________________
EMPLOYEE:__________________________________

TOTAL WAGES FROM ____________________ TO ________________________

BREAKDOWN OF WAGES: DEDUCTIONS


BASIC: ________________ SSS _____________
OVERTIME: ________________ PHILHEALTH _____________
HOLIDAYS: ________________ PAGIBIG _____________
NSD: ________________ SSS LOAN _____________
F. ALLOWANCE _______________ SALARY LOAN _____________
OTHERS: ADVANCE: _____________
LEAVE: _____________
OTHERS

TOTAL WAGES: ____________ TOTAL DEDUCTIONS: __________

NET AMOUNT PAID: _____________

RECEIVED PAYMENT: ___________

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