Sta Monica

Enterprises
Dr. Camilo Osias,
Balaoan, La Union
Philippines 2517

Certification
This is to certify the following amount was remitted to Philippine
Health Insurance Corporation by STA MONICA ENTERPRISES
for the account of Mr. Frederick N. Opeña.
Employer Number: 005020003418
Or # Employee Share Employer Share Total Date Remitted Applicable Month
78932349 137.50 137.50 275.00 December 12, 2018 November 2018

80430830 137.50 137.50 275.00 January 8, 2019 December 2018

80526957 137.50 137.50 275.00 February 13, 2019 January 2019

82458709 137.50 137.50 275.00 March 15, 2019 February 2019

82466248 137.50 137.50 275.00 April 8, 2019 March 2019

82519811 137.50 137.50 275.00 May 27, 2019 April 2019

82560014 137.50 137.50 275.00 June 25, 2019 May 2019

82564728 137.50 137.50 275.00 July 11, 2019 June 2019

82593581 137.50 137.50 275.00 August 6, 2019 July 2019

84911350 137.50 137.50 275.00 September 5, 2019 August 2019

Sincerely yours,

Monica Steffi Concepcion

Employer