Vendor Payment Deduction Authorization Form

Project DDD Signed and Sealed Payment

Name:

Vendor’s Name: Engr. Fred Llacuna

I, Engr. Fred Llacuna , hereby authorize Alphard Development Corporation to

deduct Php from my collectible payment for Alphard Development Corp. DDD Signed and Sealed.
57,102.66

This deduction is for:

Loan Repayment Retirement Profit Sharing Advance

Charitable Donations Savings Bonds Insurance Premiums

X Other: Wigo Cars repair payment

This deduction is to be made:

X One time only Weekly Monthly times over weeks

Other:

Vendor's Signature: Engr. Fred Llacuna Jr. Date: 09-09-2022