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LABOR WAGE ROLL FORM Name and Address of contractor Surye Tole Faclities Management (STFM) TeaTWoneA 7 No often s Total saci Tosa no. Nest 1D | Emplo Budget Days, | Pas | eamed |oays tbe] No ot07| IsNo|two_|"yee~| Program | ‘Code s]6{7] 6 0110} 11} 12} 13/1415 nf 17] 19] 10} 20/21] 20/25] 24] 25 26] 2726] 2] o| stew [sun | Lees "Pes." Sn sano oF eC etm ee es Ps 1_| 58 |swatsi |pp-Asiapaulrasoaor |r| el ele| el eld elelelpH | >lwdelelelelelewodelelelelelewae|e| OF |) 2 a pat tro ta fee 7 5 3 io Pat} fa hae . ott a a al fs bee 3 oo 5 fa bee $ ot 5 fs ie . o> 7 a i he q ott z ae ott 3 ie a o oo 10 Pi wo wo o D 7 a Pi [wi wo o 7 0 7 [wa ]Week or 2 [PH Paid Holiday é ark any one of Presert(P). Absent (A). Ht Day (PIA oc AP) or Earned Leave (EL). |B / bala z Verified sl! — 3 iAeoroved By: 0, fe. a name _B- Murals krishr4 Nome px Ratan Chayma Emp No 2479 Emp No G464 cae ___ 2014/2019 _ Date g0/4 19

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