taps of Pio SR Forte. Certificate of Compensation 2316 Payment/Tax Withheld ama es) —_satedagpintenet na HGRA 231g OUNBENCS +remever | 9021 | a forrerees: [01] 01 | oemon (12) 31). Ye fe Ds Car ans is Vane Th Ul Fant Bgioeo former [Oh 1 LAGAYAD ABRA | laa [7a Gross Gomponsaton income rom Present Emoyereomettens 36anf 20) | 20 Ler Tes Nen Tabane cengestn 7003887 Incr tom Pace Erstyar rom fe 94 a4 Tenable Consenesson rer fom Preset Expive ge 19 sso 20 from m2) a bas: Tasso Compensation Income fom / Previous Eloy appicable 2 Gross Taable Compensation Income (Sumet tens ars22) 24 Tax Dve 25 amount Taxes winnls 25A Preset Empoyor 258 Prevaus Employer, appeable 26 Tul amauntot aves vamele a td nc 2504 20) 334,278.00 | ‘A NON TAYABLEIEXENPT COMPENSATION NOME 7? as sary fcng be exe P280000 & eter Say Wena Wage NE 28 Hokaay Pay QaWe) 20 Overtime Pay (ME) 30 Night Sin Diterenal QUE) 34 Hazard Pay AE) 12h Ment Pay and Other Benes 32 jmciam o P93.000) 33 Oe trims Bnehis Team (Smet 27 3) es. TAYABLECONDENSATONINCOME REGULAR “SUPPLEMENTARY 43 commission Sen ETB Ot Pott Saseg 45 Fees tncng Directors Fees 4 Taxaba 12m Monn Bones | 7 Hara Pay Jas overine Pay 49 Oty 8 een 48h, Honoraia 498) Others (oad ot Acoarbnghiumon Resource of Auhonzed Represer"atee) OTE TB Das Pay we DR TS TST 51 CORAZON B. WALCIEN, Accountant It 2 Date Signed | Present EmployeriAuthorized Agent Signature ovor Printed Name Lt Litt 2 sof ituanen owesoret[ oa] iy7]oe 122 romeo ete] MeL wcann, Monn] _omwmnes fT FSO a rer congo oa To ~ oe gegen uae nee eeeanieneeeeeanoee a ond SSarmectene Sameera 8 comzon WAL Accountant Saat an 3282, ice i ann nc