You are on page 1of 1

Republic of the Philippines

SULTAN KUDARAT STATE UNIVERSITY


ACCESS EJC Montilla, Tacurong City

I hereby acknowledge to have received from the payee of SULTAN KUDARAT


STATE UNIVERSITY the sums herein specified opposite my respective name, the
same representing the HONORARIUM OF SPEAKER during the Health Talks:
Understanding PTB and HEPA B on February 3, 2023, at ACCESS , EJC Montilla
Tacurong City, which I hereby certify.

NAME AMOUNT Tax Amount to SIGNATURE


(10%) be
received

NORAISA K. YASIN, Ph.D 5,000.00 500.00 4,500.00

I certify on my official oath that the above approved, payable from appropriation
payroll is correct and that the service has
been rendered as stated.

GRACE R. PEDEROLA, RN REYNALDO H. DALAYAP, JR., PhD


Director, Health Services Division VP For FARG

I certify that I have paid the above payroll


is correct and the services has been rendered as stated.

GRACE R. PEDEROLA, RN
Payee

You might also like