Sheet No.

______ _01_____
Journal Voucher No. ______01____
GENERAL PAYROLL
I Hereby, acknowledge to have received of payment for cleaning the school for the month of September 2022 of San Fernando Primary School, Burauen East District,
Burauen Leyte with the sum of Four thousand Pesos (P 4,000) therein specified opposite our respective names, being in full compensation for our services for the period
of,September 1-30, 2022, except as noted otherwise in the remarks column
Initial
Net Amount SIGNATURE
SALARY DEDUCTIONS No. Witness To REMARKS
Received OF PAYEE
Payment
DESIGN With-
No. NAME ACA PhilHealt
ATION Employees PAG-IBIG Holding
Rate Earned for / h
Compensatio Tax
per Day Period PER
n Personal Gov’t
A Premium Loan
Share Share
1 MARILYN R. LIBRADO Janitor P 2,500. 1
2 OWEN SALAS Janitor P 1,500.00

Total P 4,000.00

(3) I certify on my official oath that I have paid to each employee whose name
(1) I certify on my official oath that the above Payroll is correct Funds Available:
Appeared the above roll the amount set opposite his name, he having his
And that the services have been duly rendered as stated.
Residence Certificate.

WILSON G. PASA MARITES E. ACOMPAÑADO WILSON G. PASA

School Head School Disbursing Officer School Head

(4) I certify on my official oath that I have witnessed payment to each person,
(2) Approved payable from appropriation for _____________
Appears here on, of the amount set opposite his name and my initial.