PAYOR's COPY

Republic of the Philippines

SOCIAL SECURITY SYSTEM
ELECTRONIC CONTRIBUTION
CON -
COLLECTION LIST SUMMARY

05-0772525-7-000
MARIALOURDES MIRABEL
HAPIHAP SPA SAN ROQUE IRIGA CITY
4431 This is your official receipt when validated

Payment Reference Number

Due Date : DUE IMMEDIATELY 5H200143977443
Generation Date : August 04, 2020

Electronic Contribution Collection List Summary for the Applicable Month of July 2020
Total Number of Employees : 33
Breakdown of Contributions :
Social Security (SS) Php 12,360.00
Employee Compensation (EC) 280.00
Total Amount Due Php 12,640.00

Please pay immediately at any SSS accredited collecting partner/bank or SSS Branch with Tellering Facility. A penalty of 2% per month, pursuant to
Section 22(a) of RA No. 11199 (Social Security Act of 2018), shall be imposed on contributions not paid within the prescribed schedule.

The SSS reserves the right to determine and collect the true and correct contributions due the SSS if it finds other un-remitted/underpaid/out-of-
bracket contributions during or before the period billed. SSS shall conduct further verification and assessment on the details of the Electronic
Contribution Collection List (e-CCL) and shall collect any balance, if any.

THIS e-CCL INCLUDES ONLY THE PRINCIPAL AMOUNT DUE FOR THE SELECTED APPLICABLE MONTH. OUTSTANDING DELINQUENCY
SHALL BE BILLED SEPARATELY, INCLUDING THE 2% PER MONTH PENALTY.

For inquiries, please email PRNHelpline@sss.gov.ph. You may contact us at 8-920-6446 or 7-917-7777.

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

SSS' COPY
Republic of the Philippines
SOCIAL SECURITY SYSTEM
ELECTRONIC CONTRIBUTION
COLLECTION LIST SUMMARY
CON -
PAYMENT SLIP

05-0772525-7-000
MARIALOURDES MIRABEL
July 2020

Payment Reference Number

5H200143977443
 Republic of the Philippines
SOCIAL SECURITY SYSTEM
ELECTRONIC CONTRIBUTION
CON -
COLLECTION LIST

Payment Reference Number

05-0772525-7-000 5H200143977443
MARIALOURDES MIRABEL
July 2020

Name of Employee SS Number SS EC Total Contributions

1 ALBALATE, EDYSON S 05-0976004-5 0.00 0.00 0.00
2 AQUINO, KRISTINE N 05-1524419-9 720.00 10.00 730.00
3 BAAL, ARNEL B 05-0543584-0 720.00 10.00 730.00
4 BAGALAY, JOY P 34-5360718-3 360.00 10.00 370.00
5 BALLECER, RIZALINDA L 05-0746271-4 360.00 10.00 370.00
6 CARITOS, BERNARDITHA GRACE P 05-0732719-2 360.00 10.00 370.00
7 CASTROVERDE, RAYMOND B 05-1334740-9 360.00 10.00 370.00
8 CLACIO, MARISSA D 05-1238261-4 360.00 10.00 370.00
9 DELMIGUEZ, GERARDA CRISTINA 05-1334735-7 0.00 0.00 0.00
10 DELMIGUEZ, JOY BETH S 05-1347778-0 0.00 0.00 0.00
11 IBARDE, RUBY N 05-1489493-5 360.00 10.00 370.00
12 IRIOLA, RENCHIE B 05-1484594-2 0.00 0.00 0.00
13 LAGUIDAO, CINDY T 05-1422182-5 720.00 10.00 730.00
14 LARIOSA, MARY JOY D 05-1291624-2 360.00 10.00 370.00
15 LINAZA, MENCHIE D 05-1466116-8 360.00 10.00 370.00
16 LOPEZ, JERIC 05-1334739-9 360.00 10.00 370.00
17 LOQUIAS, VICTORIA P 05-1326834-2 360.00 10.00 370.00
18 MAMANO, MARIBEL A 34-2160906-1 360.00 10.00 370.00
19 MAROLLANO, LEA E 05-0907446-9 360.00 10.00 370.00
20 MENDOZA, MARIA CRISTINA V 05-1388807-8 360.00 10.00 370.00
21 MIRABEL, PAUL B 05-0804490-8 1,200.00 10.00 1,210.00
22 MORAÑA, ANGELIKA A 05-1465277-9 360.00 10.00 370.00
23 NAZ, CHARISSE L 05-1368653-9 360.00 10.00 370.00
24 OTILLA, MA CATALINA T 33-9715579-1 360.00 10.00 370.00
25 PEROLINO, SHIRLYN T 05-1142119-4 360.00 10.00 370.00
26 QUINTANA, MARIA MERCEDES B 05-1353432-2 360.00 10.00 370.00
27 RESCO, ARLEN P 05-0585033-1 360.00 10.00 370.00
28 RIVERA, EMELYN L 05-0528675-6 360.00 10.00 370.00
29 RODEJO, HILARY CHELSEI B 05-1440306-7 720.00 10.00 730.00
30 SABANAL, JERALD B 05-1535539-2 360.00 10.00 370.00
31 SAN GABRIEL, MA. KATRINA D 05-1488041-5 0.00 0.00 0.00
32 UBALDO, MARY JANE S 05-1279228-8 360.00 10.00 370.00
33 YOCAMPO, CECIL D 05-1012382-0 360.00 10.00 370.00
Sub-total Php 12,360.00 Php 280.00 Php 12,640.00
Total Amount Due Php 12,640.00

This is a system-generated list, signature is not needed. Page 1 of 1