Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION

www.philhealth.gov.ph
Date/Time Generated : 12/5/2019
SPA No :
Applicable Period : 03-2016 PAR-310164482--- 3/14/2016
Report Type : Regular EMPLOYEES PREMIUM REMITTANCE LIST
PhilHealth Number :016000004730
Employer Name : MIKE SERVITECH CORP
Employer Address : DAVAO CITY DAVAO DEL SUR
Employer TIN : 006380446
Employer Type : Private
No. PhilHealth No . Surname Given Name Middle Name PS ES Status | Remarks
1 160254124815 ABOGATAL ROCKJOHN BADILLA 100.00 100.00 A
2 160501333953 ABUZO REY ARZADON 100.00 100.00 A
3 160506948050 AMAR ALIZA MAE OMALDE 100.00 100.00 A
4 172009870887 ARAMBALA ARIEL PAGSIAT 100.00 100.00 A
5 160504784697 BALIGOD CARLO TIOZON 100.00 100.00 A
6 160500705180 BALUBAR OMAR CALAMBA 100.00 100.00 A
7 162504743012 BAWILAN JOYCE MARIEL PUNGAY 100.00 100.00 A
8 160505269192 BOLIBAR REY TIRANDO 100.00 100.00 A
9 160501963647 CABANALAN JONNAVEL MALAZA 100.00 100.00 A
10 030501079959 CABRAL BERNICO WATIN 100.00 100.00 A
11 170502414200 CALMA MARLON DELA CERNA 100.00 100.00 A
12 160503247310 CANTOMAYOR EVELYN REYES 100.00 100.00 A
13 120501047738 CARLOS NOWELL DELA TORRE 100.00 100.00 A
14 190514512721 CARPIO RICARDO III QUIAL 125.00 125.00 A
15 160507313164 CARUNGAY MARK JOHN ANTHONY ALIERIO 100.00 100.00 A
16 160504696275 CATIGAN CRISTINA JOY ARAPAL 100.00 100.00 A
17 160501780992 CHING GIRALD ANG 400.00 400.00 A
18 160504674565 CUTAMORA ERNEST JOHN NOCHEFRANCA 100.00 100.00 A
19 160254787997 GIMANG RHEA RESABAL 100.00 100.00 A
20 160251648554 G0 GERALDINE BARREZA 100.00 100.00 A
21 170253186596 GONZALES JEAN MAY EHIMPLAR 100.00 100.00 A
22 160504702690 HERNAEZ ERNIE BAUTISTA 100.00 100.00 A
23 160253116266 HIBAYA FRANCIS EVAN CARTAGENAS 100.00 100.00 A
24 160502452018 HORMEGA MARVIJ SILVANO 100.00 100.00 A
25 172002447938 LARROBIS OWEN CUI 100.00 100.00 A
26 160502320219 LARROBIS RANDOLPH CUI 100.00 100.00 A
27 160503720563 LOAYON JASON DEL CAMPO 100.00 100.00 A
28 190896210665 MAGUAD NORIEL ESTARES 100.00 100.00 A
29 170502969229 MAMALIAS DENNLOU CADIGAL 100.00 100.00 A
30 160250032118 MARAMION MELVIN MARCOS 200.00 200.00 A
31 160503052064 MIGUE WINNIE OCAY 100.00 100.00 A
32 160507313202 ODONG MIGUEL SALVANA 100.00 100.00 A
33 160503555791 PAJO HIEZEL MARIE LAGA 100.00 100.00 A
34 190896210738 PAJULERAS RAUL ALBARRACIN 200.00 200.00 A
35 160254594633 PALOMAR FRANCIS VILLAMOR 100.00 100.00 A
36 160254827689 PARADO JOHN HENRY PEREZ 100.00 100.00 A
37 160503394917 PELIÑO ELENITA ANDOY 100.00 100.00 A
38 160504192668 PIOLO JOSE RUFINO STA ROMANA M 100.00 100.00 A
39 080512514816 QUIGTA EDMAR MAYO 100.00 100.00 A
40 160500829564 QUINTOS ARLENE BORRES 300.00 300.00 A
41 160500705571 QUINANOLA DANILO AMPONG 300.00 300.00 A
42 160501781549 REVIL JENIFER RICARDO 100.00 100.00 A
43 160502411362 REVIL JUNREY LANIT 100.00 100.00 A
44 160501357852 RODAS GLENN SOTTO 100.00 100.00 A
45 160507313199 SIMPAS RAYMUNDO GILAY 100.00 100.00 A
46 160504481465 SOLIVA GERALD ANOBA 100.00 100.00 A
47 160500705644 SONGCUYA ARNEL CHANG 100.00 100.00 A
48 160501835339 SORIA PATRICK YBANEZ 100.00 100.00 A
49 160501963302 SUMILAT PATRICIO LUMAMBONG 100.00 100.00 A
50 160504192633 SUSON RONALDAVE TUNDAY 100.00 100.00 A
51 160504884160 SUYOD ARNOLD VARON 100.00 100.00 A
52 160500705660 TAGALOG LAURA IRENE TAGALOG 125.00 125.00 A
53 160504865964 TAMPUS GERILYN BAPTISTA 100.00 100.00 A
54 160505268307 TAN BEVERLY JANE CASTILLANES 100.00 100.00 A
55 160501294613 TAN JIMELYN PONTERAS 100.00 100.00 A
56 010516345964 TAVARRO GRACE XENIA SUCALDITO 100.00 100.00 A
57 160500705687 TE LITA ANG 200.00 200.00 A
58 160506943547 TOLEDO KRISTINE CASILE 100.00 100.00 A
59 190896210835 VALENCIA MICHAEL GENSOLI 100.00 100.00 A
60 160507313229 YOSORES JUMAR TABUCAN 100.00 100.00 A
Subtotal 6,950.00 6,950.00
GRAND TOTAL 13,900.00
Prepared by : Certified True and Correct by :
Signature over Printed Name and Designation Signature over Printed Name and Designation
 200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
250.00
200.00
200.00
800.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
400.00
200.00
200.00
200.00
200.00
200.00
600.00 575
600.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
200.00
250.00
200.00
200.00
200.00
200.00
400.00 550
200.00
200.00
200.00
13,900.00 13,900.00 -
6950
112.5
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
www.philhealth.gov.ph
Date/Time Generated : 12/5/2019
SPA No :
Applicable Period : 03-2016 PAR-310828046--- 4/07/2016
Report Type : Regular EMPLOYEES PREMIUM REMITTANCE LIST
PhilHealth Number :016000004730
Employer Name : MIKE SERVITECH CORP
Employer Address : DAVAO CITY DAVAO DEL SUR
Employer TIN : 006380446
Employer Type : Private
No. PhilHealth No . Surname Given Name Middle Name PS ES Status | Rem
1 160254124815 ABOGATAL ROCKJOHN BADILLA 100.00 100.00 A
2 160501333953 ABUZO REY ARZADON 100.00 100.00 A
3 160506948050 AMAR ALIZA MAE OMALDE 100.00 100.00 A
4 172009870887 ARAMBALA ARIEL PAGSIAT 100.00 100.00 A
5 160504784697 BALIGOD CARLO TIOZON 100.00 100.00 A
6 160500705180 BALUBAR OMAR CALAMBA 100.00 100.00 A
7 162504743012 BAWILAN JOYCE MARIEL PUNGAY 100.00 100.00 A
8 160505269192 BOLIBAR REY TIRANDO 100.00 100.00 A
9 160501963647 CABANALAN JONNAVEL MALAZA 100.00 100.00 A
10 030501079959 CABRAL BERNICO WATIN 100.00 100.00 A
11 170502414200 CALMA MARLON DELA CERNA 100.00 100.00 A
12 160503247310 CANTOMAYOR EVELYN REYES 100.00 100.00 A
13 120501047738 CARLOS NOWELL DELA TORRE 100.00 100.00 A
14 190514512721 CARPIO RICARDO III QUIAL 100.00 100.00 A
15 160507313164 CARUNGAY MARK JOHN ANTHONY ALIERIO 100.00 100.00 A
16 160504696275 CATIGAN CRISTINA JOY ARAPAL 100.00 100.00 A
17 160501780992 CHING GIRALD ANG 300.00 300.00 A
18 160504674565 CUTAMORA ERNEST JOHN NOCHEFRANCA 100.00 100.00 A
19 160254787997 GIMANG RHEA RESABAL 100.00 100.00 A
20 160251648554 G0 GERALDINE BARREZA 100.00 100.00 A
21 170253186596 GONZALES JEAN MAY EHIMPLAR 100.00 100.00 A
22 160504702690 HERNAEZ ERNIE BAUTISTA 100.00 100.00 A
23 160253116266 HIBAYA FRANCIS EVAN CARTAGENAS 100.00 100.00 A
24 160502452018 HORMEGA MARVIJ SILVANO 100.00 100.00 A
25 172002447938 LARROBIS OWEN CUI 100.00 100.00 A
26 160502320219 LARROBIS RANDOLPH CUI 100.00 100.00 A
27 160503720563 LOAYON JASON DEL CAMPO 100.00 100.00 A
28 190896210665 MAGUAD NORIEL ESTARES 100.00 100.00 A
29 170502969229 MAMALIAS DENNLOU CADIGAL 100.00 100.00 A
30 160250032118 MARAMION MELVIN MARCOS 200.00 200.00 A
31 160503052064 MIGUE WINNIE OCAY 100.00 100.00 A
32 160507313202 ODONG MIGUEL SALVANA 100.00 100.00 A
33 160503555791 PAJO HIEZEL MARIE LAGA 100.00 100.00 A
34 190896210738 PAJULERAS RAUL ALBARRACIN 200.00 200.00 A
35 160254594633 PALOMAR FRANCIS VILLAMOR 100.00 100.00 A
36 160254827689 PARADO JOHN HENRY PEREZ 100.00 100.00 A
37 160503394917 PELIÑO ELENITA ANDOY 100.00 100.00 A
38 160504192668 PIOLO JOSE RUFINO STA ROMANA M 100.00 100.00 A
39 080512514816 QUIGTA EDMAR MAYO 100.00 100.00 A
40 160500829564 QUINTOS ARLENE BORRES 200.00 200.00 A
41 160500705571 QUINANOLA DANILO AMPONG 250.00 250.00 A
42 160501781549 REVIL JENIFER RICARDO 100.00 100.00 A
43 160502411362 REVIL JUNREY LANIT 100.00 100.00 A
44 160501357852 RODAS GLENN SOTTO 100.00 100.00 A
45 160507313199 SIMPAS RAYMUNDO GILAY 100.00 100.00 A
46 160504481465 SOLIVA GERALD ANOBA 100.00 100.00 A
47 160500705644 SONGCUYA ARNEL CHANG 100.00 100.00 A
48 160501835339 SORIA PATRICK YBANEZ 100.00 100.00 A
49 160501963302 SUMILAT PATRICIO LUMAMBONG 100.00 100.00 A
50 160504192633 SUSON RONALDAVE TUNDAY 100.00 100.00 A
51 160504884160 SUYOD ARNOLD VARON 100.00 100.00 A
52 160500705660 TAGALOG LAURA IRENE TAGALOG 100.00 100.00 A
53 160504865964 TAMPUS GERILYN BAPTISTA 100.00 100.00 A
54 160505268307 TAN BEVERLY JANE CASTILLANES 100.00 100.00 A
55 160501294613 TAN JIMELYN PONTERAS 100.00 100.00
56 010516345964 TAVARRO GRACE XENIA SUCALDITO 100.00 100.00 A
57 160500705687 TE LITA ANG 100.00 100.00
58 160506943547 TOLEDO KRISTINE CASILE 100.00 100.00 A
59 190896210835 VALENCIA MICHAEL GENSOLI 100.00 100.00 A
60 160507313229 YOSORES JUMAR TABUCAN 100.00 100.00 A
Subtotal 6,950.00 6,950.00
GRAND TOTAL 13,300.00
Prepared by : Certified True and Correct by :
Signature over Printed Name and Designation Signature over Printed Name and Designation
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
www.philhealth.gov.ph
Date/Time Generated : 12/5/2019
SPA No :
Applicable Period : 05-2016 PAR-311819850--- 6/10/2016
Report Type : Regular EMPLOYEES PREMIUM REMITTANCE LIST
PhilHealth Number :016000004730
Employer Name : MIKE SERVITECH CORP
Employer Address : DAVAO CITY DAVAO DEL SUR
Employer TIN : 006380446
Employer Type : Private
No. PhilHealth No . Surname Given Name Middle Name PS ES Status | Remarks
1 160254124815 ABOGATAL ROCKJOHN BADILLA 100.00 100.00 A 200.00
2 160501333953 ABUZO REY ARZADON 100.00 100.00 A 200.00
3 160506948050 AMAR ALIZA MAE OMALDE 100.00 100.00 A 200.00
4 172009870887 ARAMBALA ARIEL PAGSIAT 100.00 100.00 A 200.00
5 160504784697 BALIGOD CARLO TIOZON 100.00 100.00 A 200.00
6 160500705180 BALUBAR OMAR CALAMBA 100.00 100.00 A 200.00
7 162504743012 BAWILAN JOYCE MARIEL PUNGAY 100.00 100.00 A 200.00
8 160505269192 BOLIBAR REY TIRANDO 100.00 100.00 A 200.00
9 160501963647 CABANALAN JONNAVEL MALAZA 100.00 100.00 A 200.00
10 030501079959 CABRAL BERNICO WATIN 100.00 100.00 A 200.00
11 170502414200 CALMA MARLON DELA CERNA 100.00 100.00 A 200.00
12 160503247310 CANTOMAYOR EVELYN REYES 100.00 100.00 A 200.00
13 120501047738 CARLOS NOWELL DELA TORRE 100.00 100.00 A 200.00
14 190514512721 CARPIO RICARDO III QUIAL 100.00 100.00 A 200.00
15 160507313164 CARUNGAY MARK JOHN ANTHONY ALIERIO 100.00 100.00 A 200.00
16 160504696275 CATIGAN CRISTINA JOY ARAPAL 100.00 100.00 A 200.00
17 160501780992 CHING GIRALD ANG 300.00 300.00 A 600.00
18 160504674565 CUTAMORA ERNEST JOHN NOCHEFRANCA 100.00 100.00 A 200.00
19 160254787997 GIMANG RHEA RESABAL 100.00 100.00 A 200.00
20 160251648554 G0 GERALDINE BARREZA 100.00 100.00 A 200.00
21 170253186596 GONZALES JEAN MAY EHIMPLAR 100.00 100.00 A 200.00
22 160504702690 HERNAEZ ERNIE BAUTISTA 100.00 100.00 A 200.00
23 160253116266 HIBAYA FRANCIS EVAN CARTAGENAS 100.00 100.00 A 200.00
24 160502452018 HORMEGA MARVIJ SILVANO 100.00 100.00 A 200.00
25 172002447938 LARROBIS OWEN CUI 100.00 100.00 A 200.00
26 160502320219 LARROBIS RANDOLPH CUI 100.00 100.00 A 200.00
27 160503720563 LOAYON JASON DEL CAMPO 100.00 100.00 A 200.00
28 190896210665 MAGUAD NORIEL ESTARES 100.00 100.00 A 200.00
29 170502969229 MAMALIAS DENNLOU CADIGAL 100.00 100.00 A 200.00
30 160250032118 MARAMION MELVIN MARCOS 200.00 200.00 A 200.00
31 160503052064 MIGUE WINNIE OCAY 100.00 100.00 A 200.00
32 160507313202 ODONG MIGUEL SALVANA 100.00 100.00 A 200.00
33 160503555791 PAJO HIEZEL MARIE LAGA 100.00 100.00 A 200.00
34 190896210738 PAJULERAS RAUL ALBARRACIN 200.00 200.00 A 400.00
35 160254594633 PALOMAR FRANCIS VILLAMOR 100.00 100.00 A 200.00
36 160254827689 PARADO JOHN HENRY PEREZ 100.00 100.00 A 200.00
37 160503394917 PELIÑO ELENITA ANDOY 100.00 100.00 A 200.00
38 160504192668 PIOLO JOSE RUFINO STA ROMANA M 100.00 100.00 A 200.00
39 080512514816 QUIGTA EDMAR MAYO 100.00 100.00 A 200.00
40 160500829564 QUINTOS ARLENE BORRES 200.00 200.00 A 400.00
41 160500705571 QUINANOLA DANILO AMPONG 250.00 250.00 A 500.00
42 160501781549 REVIL JENIFER RICARDO 100.00 100.00 A 200.00
43 160502411362 REVIL JUNREY LANIT 100.00 100.00 A 200.00
44 160501357852 RODAS GLENN SOTTO 100.00 100.00 A 200.00
45 160507313199 SIMPAS RAYMUNDO GILAY 100.00 100.00 A 200.00
46 160504481465 SOLIVA GERALD ANOBA 100.00 100.00 A 200.00
47 160500705644 SONGCUYA ARNEL CHANG 100.00 100.00 A 200.00
48 160501835339 SORIA PATRICK YBANEZ 100.00 100.00 A 200.00
49 160501963302 SUMILAT PATRICIO LUMAMBONG 100.00 100.00 A 200.00
50 160504192633 SUSON RONALDAVE TUNDAY 100.00 100.00 A 200.00
51 160504884160 SUYOD ARNOLD VARON 100.00 100.00 A 200.00
52 160500705660 TAGALOG LAURA IRENE TAGALOG 100.00 100.00 A 200.00
53 160504865964 TAMPUS GERILYN BAPTISTA 100.00 100.00 A 200.00
54 160505268307 TAN BEVERLY JANE CASTILLANES 100.00 100.00 A 200.00
55 160501294613 TAN JIMELYN PONTERAS 100.00 100.00 A 200.00
56 010516345964 TAVARRO GRACE XENIA SUCALDITO 100.00 100.00 A 200.00
57 160500705687 TE LITA ANG 100.00 100.00 400.00
58 160506943547 TOLEDO KRISTINE CASILE 100.00 100.00 A 200.00
59 190896210835 VALENCIA MICHAEL GENSOLI 100.00 100.00 A 200.00
60 160507313229 YOSORES JUMAR TABUCAN 100.00 100.00 A 200.00
Subtotal 13,300.00
GRAND TOTAL 13,300.00
Prepared by : Certified True and Correct by :
Signature over Printed Name and Designation Signature over Printed Name and Designation
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
www.philhealth.gov.ph
Date/Time Generated : 12/5/2019
SPA No :
Applicable Period : 03-201PAR-310164482--- 3/14/2016
Report Type : Regular EMPLOYEES PREMIUM REMITTANCE LIST
PhilHealth Number :016000004730
Employer Name : MIKE SERVITECH CORP
Employer Address : DAVAO CITY DAVAO DEL SUR
Employer TIN : 006380446
Employer Type : Private
No. PhilHealth No . Surname Given Name Middle Name PS ES Status | Remarks
1 160254124815 ABOGATAL ROCKJOHN BADILLA 100.00 100.00 A 200.00
2 160501333953 ABUZO REY ARZADON 100.00 100.00 A 200.00
3 160506948050 AMAR ALIZA MAE OMALDE 100.00 100.00 A 200.00
4 172009870887 ARAMBALA ARIEL PAGSIAT 100.00 100.00 A 200.00
5 160504784697 BALIGOD CARLO TIOZON 100.00 100.00 A 200.00
6 160500705180 BALUBAR OMAR CALAMBA 100.00 100.00 A 200.00
7 162504743012 BAWILAN JOYCE MARIEL PUNGAY 100.00 100.00 A 200.00
8 160505269192 BOLIBAR REY TIRANDO 100.00 100.00 A 200.00
9 160501963647 CABANALAN JONNAVEL MALAZA 100.00 100.00 A 200.00
10 030501079959 CABRAL BERNICO WATIN 100.00 100.00 A 200.00
11 170502414200 CALMA MARLON DELA CERNA 100.00 100.00 A 200.00
12 160503247310 CANTOMAYOR EVELYN REYES 100.00 100.00 A 200.00
13 120501047738 CARLOS NOWELL DELA TORRE 100.00 100.00 A 200.00
14 190514512721 CARPIO RICARDO III QUIAL 125.00 125.00 A 250.00
15 160507313164 CARUNGAY MARK JOHN ANTHONY ALIERIO 100.00 100.00 A 200.00
16 160504696275 CATIGAN CRISTINA JOY ARAPAL 100.00 100.00 A 200.00
17 160501780992 CHING GIRALD ANG 400.00 400.00 A 800.00
18 160504674565 CUTAMORA ERNEST JOHN NOCHEFRANCA 100.00 100.00 A 200.00
19 160254787997 GIMANG RHEA RESABAL 100.00 100.00 A 200.00
20 160251648554 G0 GERALDINE BARREZA 100.00 100.00 A 200.00
21 170253186596 GONZALES JEAN MAY EHIMPLAR 100.00 100.00 A 200.00
22 160504702690 HERNAEZ ERNIE BAUTISTA 100.00 100.00 A 200.00
23 160253116266 HIBAYA FRANCIS EVAN CARTAGENAS 100.00 100.00 A 200.00
24 160502452018 HORMEGA MARVIJ SILVANO 100.00 100.00 A 200.00
25 172002447938 LARROBIS OWEN CUI 100.00 100.00 A 200.00
26 160502320219 LARROBIS RANDOLPH CUI 100.00 100.00 A 200.00
27 160503720563 LOAYON JASON DEL CAMPO 100.00 100.00 A 200.00
28 190896210665 MAGUAD NORIEL ESTARES 100.00 100.00 A 200.00
29 170502969229 MAMALIAS DENNLOU CADIGAL 100.00 100.00 A 200.00
30 160250032118 MARAMION MELVIN MARCOS 200.00 200.00 A 200.00
31 160503052064 MIGUE WINNIE OCAY 100.00 100.00 A 200.00
32 160507313202 ODONG MIGUEL SALVANA 100.00 100.00 A 200.00
33 160503555791 PAJO HIEZEL MARIE LAGA 100.00 100.00 A 200.00
34 190896210738 PAJULERAS RAUL ALBARRACIN 200.00 200.00 A 400.00
35 160254594633 PALOMAR FRANCIS VILLAMOR 100.00 100.00 A 200.00
36 160254827689 PARADO JOHN HENRY PEREZ 100.00 100.00 A 200.00
37 160503394917 PELIÑO ELENITA ANDOY 100.00 100.00 A 200.00
38 160504192668 PIOLO JOSE RUFINO STA ROMANA M 100.00 100.00 A 200.00
39 080512514816 QUIGTA EDMAR MAYO 100.00 100.00 A 200.00
40 160500829564 QUINTOS ARLENE BORRES 300.00 300.00 A 600.00
41 160500705571 QUINANOLA DANILO AMPONG 300.00 300.00 A 600.00
42 160501781549 REVIL JENIFER RICARDO 100.00 100.00 A 200.00
43 160502411362 REVIL JUNREY LANIT 100.00 100.00 A 200.00
44 160501357852 RODAS GLENN SOTTO 100.00 100.00 A 200.00
45 160507313199 SIMPAS RAYMUNDO GILAY 100.00 100.00 A 200.00
46 160504481465 SOLIVA GERALD ANOBA 100.00 100.00 A 200.00
47 160500705644 SONGCUYA ARNEL CHANG 100.00 100.00 A 200.00
48 160501835339 SORIA PATRICK YBANEZ 100.00 100.00 A 200.00
49 160501963302 SUMILAT PATRICIO LUMAMBONG 100.00 100.00 A 200.00
50 160504192633 SUSON RONALDAVE TUNDAY 100.00 100.00 A 200.00
51 160504884160 SUYOD ARNOLD VARON 100.00 100.00 A 200.00
52 160500705660 TAGALOG LAURA IRENE TAGALOG 125.00 125.00 A 250.00
53 160504865964 TAMPUS GERILYN BAPTISTA 100.00 100.00 A 200.00
54 160505268307 TAN BEVERLY JANE CASTILLANES 100.00 100.00 A 200.00
55 160501294613 TAN JIMELYN PONTERAS 100.00 100.00 A 200.00
56 010516345964 TAVARRO GRACE XENIA SUCALDITO 100.00 100.00 A 200.00
57 160500705687 TE LITA ANG 200.00 200.00 A 400.00
58 160506943547 TOLEDO KRISTINE CASILE 100.00 100.00 A 200.00
59 190896210835 VALENCIA MICHAEL GENSOLI 100.00 100.00 A 200.00
60 160507313229 YOSORES JUMAR TABUCAN 100.00 100.00 A 200.00
Subtotal 6,950.00 6,950.00 13,900.00
GRAND TOTAL 13,900.00
Prepared by : Certified True and Correct by :
Signature over Printed Name and Designation Signature over Printed Name and Designation
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
www.philhealth.gov.ph
Date/Time Generated : 12/5/2019
SPA No :
Applicable Period : 06-2016 PAR-310828195--- 7/11/2016
Report Type : Regular EMPLOYEES PREMIUM REMITTANCE LIST
PhilHealth Number :016000004730
Employer Name : MIKE SERVITECH CORP
Employer Address : DAVAO CITY DAVAO DEL SUR
Employer TIN : 006380446
Employer Type : Private
No. PhilHealth No . Surname Given Name Middle Name PS ES Status | Remarks
1 160254124815 ABOGATAL ROCKJOHN BADILLA 100.00 100.00 A 200.00
2 160501333953 ABUZO REY ARZADON 100.00 100.00 A 200.00
3 160506948050 AMAR ALIZA MAE OMALDE 100.00 100.00 A 200.00
4 172009870887 ARAMBALA ARIEL PAGSIAT 100.00 100.00 A 200.00
5 160504784697 BALIGOD CARLO TIOZON 100.00 100.00 A 200.00
6 160500705180 BALUBAR OMAR CALAMBA 100.00 100.00 A 200.00
7 162504743012 BAWILAN JOYCE MARIEL PUNGAY 100.00 100.00 A 200.00
8 160505269192 BOLIBAR REY TIRANDO 100.00 100.00 A 200.00
9 160501963647 CABANALAN JONNAVEL MALAZA 100.00 100.00 A 200.00
10 030501079959 CABRAL BERNICO WATIN 100.00 100.00 A 200.00
11 170502414200 CALMA MARLON DELA CERNA 100.00 100.00 A 200.00
12 160503247310 CANTOMAYOR EVELYN REYES 100.00 100.00 A 200.00
13 120501047738 CARLOS NOWELL DELA TORRE 100.00 100.00 A 200.00
14 190514512721 CARPIO RICARDO III QUIAL 150.00 150.00 A 300.00
15 160507313164 CARUNGAY MARK JOHN ANTHONY ALIERIO 100.00 100.00 A 200.00
16 160504696275 CATIGAN CRISTINA JOY ARAPAL 100.00 100.00 A 200.00
17 160501780992 CHING GIRALD ANG 300.00 300.00 A 600.00
18 160504674565 CUTAMORA ERNEST JOHN NOCHEFRANCA 100.00 100.00 A 200.00
19 160254787997 GIMANG RHEA RESABAL 100.00 100.00 A 200.00
20 160251648554 G0 GERALDINE BARREZA 100.00 100.00 A 200.00
21 170253186596 GONZALES JEAN MAY EHIMPLAR 100.00 100.00 A 200.00
22 160504702690 HERNAEZ ERNIE BAUTISTA 100.00 100.00 A 200.00
23 160253116266 HIBAYA FRANCIS EVAN CARTAGENAS 100.00 100.00 A 200.00
24 160502452018 HORMEGA MARVIJ SILVANO 100.00 100.00 A 200.00
25 172002447938 LARROBIS OWEN CUI 100.00 100.00 A 200.00
26 160502320219 LARROBIS RANDOLPH CUI 100.00 100.00 A 200.00
27 160503720563 LOAYON JASON DEL CAMPO 100.00 100.00 A 200.00
28 190896210665 MAGUAD NORIEL ESTARES 100.00 100.00 A 200.00
29 170502969229 MAMALIAS DENNLOU CADIGAL 100.00 100.00 A 200.00
30 160250032118 MARAMION MELVIN MARCOS 200.00 200.00 A 400.00
31 160503052064 MIGUE WINNIE OCAY 100.00 100.00 A 200.00
32 160507313202 ODONG MIGUEL SALVANA 100.00 100.00 A 200.00
33 160503555791 PAJO HIEZEL MARIE LAGA 100.00 100.00 A 200.00
34 190896210738 PAJULERAS RAUL ALBARRACIN 200.00 200.00 A 200.00
35 160254594633 PALOMAR FRANCIS VILLAMOR 100.00 100.00 A 200.00
36 160254827689 PARADO JOHN HENRY PEREZ 100.00 100.00 A 200.00
37 160503394917 PELIÑO ELENITA ANDOY 100.00 100.00 A 200.00
38 160504192668 PIOLO JOSE RUFINO STA ROMANA M 100.00 100.00 A 200.00
39 080512514816 QUIGTA EDMAR MAYO 100.00 100.00 A 200.00
40 160500829564 QUINTOS ARLENE BORRES 200.00 200.00 A 200.00
41 160500705571 QUINANOLA DANILO AMPONG 200.00 200.00 A 400.00
42 160501781549 REVIL JENIFER RICARDO 100.00 100.00 A 200.00
43 160502411362 REVIL JUNREY LANIT 100.00 100.00 A 200.00
44 160501357852 RODAS GLENN SOTTO 100.00 100.00 A 200.00
45 160507313199 SIMPAS RAYMUNDO GILAY 100.00 100.00 A 200.00
46 160504481465 SOLIVA GERALD ANOBA 100.00 100.00 A 200.00
47 160500705644 SONGCUYA ARNEL CHANG 100.00 100.00 A 200.00
48 160501835339 SORIA PATRICK YBANEZ 100.00 100.00 A 200.00
49 160501963302 SUMILAT PATRICIO LUMAMBONG 100.00 100.00 A 200.00
50 160504192633 SUSON RONALDAVE TUNDAY 100.00 100.00 A 200.00
51 160504884160 SUYOD ARNOLD VARON 100.00 100.00 A 200.00
52 160500705660 TAGALOG LAURA IRENE TAGALOG 100.00 100.00 A 200.00
53 160504865964 TAMPUS GERILYN BAPTISTA 100.00 100.00 A 200.00
54 160505268307 TAN BEVERLY JANE CASTILLANES 100.00 100.00 A 200.00
55 160501294613 TAN JIMELYN PONTERAS 100.00 100.00 A 200.00
56 010516345964 TAVARRO GRACE XENIA SUCALDITO 100.00 100.00 A 200.00
57 160500705687 TE LITA ANG 100.00 100.00 A 200.00
58 160506943547 TOLEDO KRISTINE CASILE 100.00 100.00 A 200.00
59 190896210835 VALENCIA MICHAEL GENSOLI 100.00 100.00 A 200.00
60 160507313229 YOSORES JUMAR TABUCAN 100.00 100.00 A 200.00
Subtotal
GRAND TOTAL 12,900.00
Prepared by : Certified True and Correct by :
Signature over Printed Name and Designation Signature over Printed Name and Designation