Republic of the Philippines

SOCIAL SECURITY SYSTEM

http://www.sss.gov.ph

THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

BENECEN, CHRISTOPHER PAITON Reference Number: V0919051833429

Amount Due: P360.00
SS Number: 33-3802858-6 Due Date: October 31, 2019
Payor Type: Voluntary Generation Date: September 13, 2019

STATEMENT OF ACCOUNT

APPLICABLE PERIOD INDIVIDUAL PAYMENT REFERENCE AMOUNT

NUMBER
Aug 2019 to Aug 2019 V0919051833429 P360.00

Please pay on or before the due date at any SSS accredited collecting partner/bank or SSS Office with tellering Facility.

For inquiries, email us at PRNHelpline@sss.gov.ph

This is a system-generated statement, signature is not needed.

Republic of the Philippines

SOCIAL SECURITY
SYSTEM
http://www.sss.gov.ph

Payment Slip

BENECEN, CHRISTOPHER PAITON Total Amount Paid

SS Number: 33-3802858-6 P ______________________
Cash ( ) Cheque ( ) Cheque No. ________________
Bank/Branch _______________
Bank Teller ________________