CERTIFICATE OF PHILHEALTH PREMIUM CONTRIBUTIONS

To whom it may concern,

This is to certify that Ms. Mary Grace Banzuelo with Philhealth No. 022002283453.

This further certifies that she has the following contributions to wit:

Month Coverage OR No. Date of Payment

March 2022 ZSOF42200000220 04/15/2022
April 2022 ZSOF52200000307 05/15/2022
May 2022 96841508 06/16/2022
June 2022 ZSOF72200000074 07/15/2022
July 2022 ZSOF82200000215 08/15/2022
August 2022 ZSOF92200001046 09/15/2022
September 2022 ZSOFA2200001139 10/15/2022
October 2022 ZSOFB2200000229 11/15/2022
November 2022 ZSOFC2200001375 12/15/2022
December 2022 ZSOF12300000161 01/15/2023
January 2023 ZSOF22300000431 02/15/2023
February 2023 ZSO230000007000 03/15/2023

This certification is issued upon the request of Ms. Mary Grace Banzuelo, valid for whatever
legal purposes it may serve.

Done this 11th day of April 2023 at Tanglaw Ministry Center.

Signed by:

Trixie S. Clamohoy
HR & Admin