File name : R30508025040032014.

09061055
Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 032014

PAYMENT INFORMATION
TR/SBR NUMBER : E03011002540351
DATE OF PAYMENT : Mar 20, 2014
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040032014.09061055]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040042014.09061057
Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 042014

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040042014.09061057]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040052014.09061059
Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 052014

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040052014.09061059]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040062014.09061101

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 062014

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040062014.09061101]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040072014.09061102

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 072014

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040072014.09061102]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040082014.09061103

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 082014
 PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040082014.09061103]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040092014.09061107

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 092014
 PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 0251
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040092014.09061107]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040102014.09061109

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 102014
 PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040102014.09061109]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040112014.09061110

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 112014

PAYMENT INFORMATION
 TR/SBR NUMBER : E03020906030240
DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040112014.09061110]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040122014.09061111

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 122014

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030240
 DATE OF PAYMENT : Jan 21, 2015
AMOUNT PAID : 1,480.00

ENCODED INFORMATION
SS AMOUNT : 1,430.00
EC AMOUNT : 50.00
TOTAL AMOUNT : 1,480.00

Total number of Employees: 5

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040122014.09061111]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 220.00 10.00 N 0
BUJATIN ANABIE B 05-1192709-6 220.00 10.00 N 0
REYES AILEEN T 05-1137299-7 330.00 10.00 N 0
TALDE ANNALYN J 05-0828707-9 330.00 10.00 N 0

Total Number of Employees: 5

File name : R30508025040012015.09061133

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 012015

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030181
DATE OF PAYMENT : Jan 22, 2015
AMOUNT PAID : 680.00
 ENCODED INFORMATION
SS AMOUNT : 660.00
EC AMOUNT : 20.00
TOTAL AMOUNT : 680.00

Total number of Employees: 2

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040012015.09061133]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 330.00 10.00 N 0

Total Number of Employees: 2

File name : R30508025040022015.09061137

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 022015

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030181
DATE OF PAYMENT : Jan 22, 2015
AMOUNT PAID : 680.00
 ENCODED INFORMATION
SS AMOUNT : 660.00
EC AMOUNT : 20.00
TOTAL AMOUNT : 680.00

Total number of Employees: 2

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040022015.09061137]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 330.00 10.00 N 0

Total Number of Employees: 2

File name : R30508025040032015.09061140

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 032015

PAYMENT INFORMATION
TR/SBR NUMBER : E03020906030181
DATE OF PAYMENT : Jan 22, 2015
AMOUNT PAID : 680.00

ENCODED INFORMATION
 SS AMOUNT : 660.00
EC AMOUNT : 20.00
TOTAL AMOUNT : 680.00

Total number of Employees: 2

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040032015.09061140]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

ANDES IRENEO B 05-1192712-2 330.00 10.00 N 0

ARIMADO ELMER J 05-0852703-0 330.00 10.00 N 0

Total Number of Employees: 2

File name : R30508025040012015.09061144

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 012015

PAYMENT INFORMATION
TR/SBR NUMBER : E03030906470393
DATE OF PAYMENT : Aug 30, 2016
AMOUNT PAID : 340.00

ENCODED INFORMATION
 SS AMOUNT : 330.00
EC AMOUNT : 10.00
TOTAL AMOUNT : 340.00

Total number of Employees: 1

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040012015.09061144]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

BUJATIN ANABIE B 05-1192709-6 330.00 10.00 N 0

Total Number of Employees: 1

File name : R30508025040022015.09061145

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 022015

PAYMENT INFORMATION
TR/SBR NUMBER : E03030906470393
DATE OF PAYMENT : Aug 30, 2016
AMOUNT PAID : 340.00

ENCODED INFORMATION
SS AMOUNT : 330.00
EC AMOUNT : 10.00
 TOTAL AMOUNT : 340.00

Total number of Employees: 1

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040022015.09061145]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

BUJATIN ANABIE B 05-1192709-6 330.00 10.00 N 0

Total Number of Employees: 1

File name : R30508025040032015.09061147

Employer name: REGINA T. ARIMADO Date: Sep 06, 2016
Employer No : 05-0802504-0 App. Period: 032015

PAYMENT INFORMATION
TR/SBR NUMBER : E03030906470393
DATE OF PAYMENT : Aug 30, 2016
AMOUNT PAID : 340.00

ENCODED INFORMATION
SS AMOUNT : 330.00
EC AMOUNT : 10.00
TOTAL AMOUNT : 340.00
 Total number of Employees: 1

CERTIFIED CORRECT AND PAID

RECEIVED BY : _____________________________
DATE RECEIVED : _____________________________
TRANSACTION NO: _____________________________

REGINA T. ARIMADO [R30508025040032015.09061147]

Date: Sep 06, 2016

FAMILY NAME GIVEN NAME MI SS NUMBER S.S. E.C. RMRK DTHRD

BUJATIN ANABIE B 05-1192709-6 330.00 10.00 N 0

Total Number of Employees: 1