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4,091.19 4,270.

00
AMOUNT 17,080.00
14,989,47 448,350,00
S,2023
January P488,780.66
GIP
of CZIVED
Disbursement
Daadend
16
1
December
December

Advance OTHERS,
OWice
Agdao,
City
Davao ph/ 1-15,202216-31,2022
OTHERS,
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XI liportal.ons
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EMPLOYMENT TRANSMITTAL Cash DESCRIPTION AND ie
Davao
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LABOR 3157;
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the AMIHAN,AMIHAN, documents dntcPrl1
gvh
Field 15,2022
theDEPARTMENT CACHO, 31,2022
CACHO,
ERÍNDA
G,MAMMITAG
Fleld
submit DOLEX7-DCFO-
ChiefLEO GF Hichay.
Natisnal10S216-
Buldi
Mlan
Note 1487
of CityBldg., Ciy
Tacum
Republic of de!
AMQ
DavaoNos. IACCOUNTANTrespectfully said DYvao
E-mail: period PAYROL
4/F Tel. T. Payroll3Payroll4PayrollS
IPayroll 2 Payroll
DIMPLE NO. the Office
Jankin
Conmercial
Cener
Jose,
the find Fleld San
Ofice
This Greetings!for Thank
you, Bray. 2507
(082)553
we you Sur
del
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MS. May May
2 3 5
.
Office
Fleld
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n
4,91.19 4,270,90 14,989
A7 17080.00 448.350.00 488,780.66
Amount
Report
No. Sheet N N N N IN
No. GPS GIPS GIPS GIPS GIPS
Nature
of
Payment PAX)
DOLEX-DCPO
(I
PAK) DOLEXI-DCPO
(4
PAX)
FOR FOR FORDOLEXI-DCPO
(4
PAX) FOR FOR
FUL OF
PAYMENT
OF PAYMENT
FULL OF
PAYMENT
FULL FULL
OF
PAYMENT
PAYMENT
OF
PULCOMPENSATION
COMPENSATION
DOLEXI-DCFO
(1 COMPENSATION 3RD
(50PAX)
DIST.
COMPENSATION
COMPENSATION
01/05/2023
Date
above
shcet
stated
in
Disbursements
period
DISBURSEMENTS UACS
Object Prfjsburesment
2022 Code the cashier
1-31, during
Cash
mcqr/
December LOUNISA
CACHO,
MA. 49 of disburseinens
16
LOUNISA
OTHERS,
December
16 RUDML
ABLANQUE, CERTIFICATION
Report officer
V
Administrative
1 OTHERS,
December
| ANDOTHERS,
Decenber
1 Disbursing
Y December
JOHNL
AMIIAN, December
JOHNLY
AMIHAN,
3 DISBURSEMENTS
AND 3
AND AL, this
CASH
Covered: Payee
CACHO,
MA. ET thatcash
A., A, AL &f
15,2022MARK
31,2022 AL 31,2022ADAMS.
31,2022 oathall Signature
OF Period MARK ET 15,2022
ET of me
LORRAIY
) oficial
F. F. no. statement
REPORT (check
by
and
Responsibility
Center
Code TOTAL my made
Name
BALANCE on correct
actually
certify
and
hereby
REF.
NO./OR UNLIQUIDATEDtrue
DTD I full,
reimbursement)
NO a
is
NO.
Fund DV/
Payroll
No. GRANTED:
5PAYROLL O.R. for
2PAYROLL3PAYROLL 4PAYROLL
PAYROLL
I
XI PER
(UNDER
Regular
DOLE
REFUND
ADVANCE
Cluster: RECEIVED
Name: refund
Date
from
field
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PARTIAL
for
Entity
Fund CASH OVHR
Cluster
Municipality/City/Province:
DAVAO
FundCITY Entity
Sub-Ofice/DistrictDivision:
Date

Name:
CERTIFIED
CORRECT:
DVPayroll
CheckNa.
DOLE
3 2 1

NI
01/05/2023
Date: ABLANQUE,
|OTHERS,
December JOTHERS,|OTHERS,
1-312022 16-312022
DecemberDecember
1-15,2022
CACHO, |CACHO, AMIHAN, AMIHAN,
DAVAO

MA. MA
JOHNL JOHNLY CITY
RUDML LOUNISALOUNISA

Signature Particulars
FIELD
MARK Y MARK
Total/ ADAMS.
F. F.. OFFICE
ET ET A., A,
over
AL. AL. December December
Printed ET
AL. AND AND

Name AND 3 3l6-31,2022 l-15.2022


49

Advance
Cash
563,070.99

Operating
Expenses
DISBURSEMENTS
REGISTER
CASH
Advancesfor
(19901010)
PaymentsAmount
488,780.66448,350.00 17,080.00 14,989,47
4,270.00 4,091.19

74,290.33 Balance

Paymcnts'
columns.ofThe
(50101010) Salariesand
tolal RegularWages
of
the
'Advances
RECEIVEDBY -Casual
Wages
(50101020)
Contractual Salaries
and
for
Operating

Expenscs- Supplies
Office Sheet
No. :Station:
Date (50203010) Register No. Official Name
S1gnature Expenses BREAKDOWN
PAYMENTSOF
of
Payments' DOLE
Designation:
Accountable
over
Recapitulation XI-
Printed column Descripton
Account
Descripion
Account DCFO
Total ADMINISTRATIVEOfficer:
Nanne mst
always
LORRAINE
be Object
Code
cqual UACS CodeObject UACS
0THERS
to
he OFFICERCRACE
sum
of
the
G.
totals V
Amount USANG
of Appendx 43
the
'Brcak

down
Jiacad
DOLEX-DCEO
Ciel 1.1CERTEY Avaiabie
Funds
1.1CERTFY Regional
Drecior ATIY rengere
Deen
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hy TDUMANDAGAN
DIMPLE
rendered
been
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ly Approved 2.
|BUB-TOTAL AMAN
ONY
We
RANDOLE is
is coect heret
DR
coreci payabie on
on my
my cae
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and ofical MÀME
and C. trom MARK A
oflicial PEN9OY thal
thet oath
Apropialion the bepnod
the oath
services that ko
services
have thal have
the the DeCae1.19.2022ceived
have above
above
DOLEXSOCFO ASNONMENT
om
DOLL

RO
Agrmen
nternahip
Period
DECEMBER X
AUOUNT
20221,31,2022 e Pe
Coverd tum
soeciled
in
the
(OM opoosie
Cashier 3.1CERTIFY P3%00) Min
NOME payment
processed
39600 wage our
JANE of esoecive
saane the on wage
MeMiwn
my PZI00)
B, releasod
PANIAGUA of
official 427,00 names
oiP
of oath os
bonehcianes.funds REOULAR
WORKNO
thal DAYS hl
for 11 alowance
the hav i

ADSCHCES lo
oUr
services

Wage)
Mi(Odn.
WORKEDTOTALDAY 6s
INTERNS DUPARTMCNTLAROR OF
TEMPLATE
PAYROUL
Ruglonal
for
Wage)Memiwn. TOTAL he
WORKED DAY8
10 period Oce

soecibed Ho.
)
PLOTMENT
(OLD)
in
eu
Daly
UNDERTIME
LATE

(OLD)

(NEY)
21

ALLONHCE
GROSS

4,270 00 4270 00

LATEANEERTME

160.13

LATENCERTME

TES
88
18

ALLOWANCE
WET
4,091.19 409419

SGNATURE
1.(CERTEY
Regional
Direcior ATTY 2Approved 1.10ERTFYon
(eroere
Deensy
PaplE
yrendered
bee
reyral DUNANJAGAN
PMPLET
AMAOKYAHKA
8UE-T0TAL
RANDOLF
PENSOY C
Come
comeclolicaalmy
on payabie
my
and end
rum otial
that thal
Aypropnaion the oath
heoath
servces that serves fhat
the the
have above above
be

OLELIO

DEDEMBER
31.2
1.222i0
AUGUST

Cashier 31CERTFY
B.PANAGUA
NOVIJANEE prvcessed

the on
released my
ofcal
of oth
funds
ha KEOULA
DEVE
for
11
tie have I

APSEN

19A
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PAOLBPKE

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ATEA

16913

1868

ALLORANCE

4,091.

SIGNARRE
rengee
been
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CreLE
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Funds Irne
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DMPLE T.
s RANDOUF Rocgd
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SUB-TOTAL We

end
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heofca PENSOY ecknoedge
becet NAMS

sereces the
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te have
tee
toe
Decegberecaved

DOLENDCFO ASSSET
1631.202 tom
DOLE
RO
DECEMBERN22Y, X
ALGSTL7e Agree t

ceed

st
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pemeO
roressad
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JANE 30600 or
regectve
B Sares on
PANIAGUA relezsed e my
PAZ700)
oica nanes
r 42700
o
Denencanes tus oath
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tor
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(04 101AL
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fe
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i
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ATS

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4,71000 4Z1900

ALLGHAe

SATUPE
ALFER
1 2LNS 3BAEZ24GUAPINO,
SANTAGO
ANGEICA 23 2 21 20 DIGANGDAGAN,
WoWIE 18 17 16 Tna
19EMPS,
ARCHE 15 14 11 10 9 YASSERAMERODNG
ANNAL 5 4
LAGUNA GONZNES, GOMEZ,
BAUTISTA
ABEGALG0, GAMTE, DIGANDANG, DELATAL DELACoSTANTLLA, CEJAS, PROCESUS
ELVERSON
CAMINIAN, CANGLES,
SELRANO
MARITES BANGKRLA, PACHOLO
CATITO BACASMOT,
HAZER BALICOG, BALICOG,BACASMOT, ALMAZAN PAUL
LAO ABLANQUE,
ALFERE2 ALEGOU0, RecDRcoveina
CrRL CRUZ, heretyYe
HEN PEAH ENRICO
GRACE
DANZ RONNE
DAYF AL RENEL JOHN RZZA JAN JO-N
JOTCE EATALNA MAE ROLEX KANE RUDL
DAVE COFNG MARTN BOTIOedge
NASLAGAH 0CARE TOREON MAE GUEL NOVY
GUTANO CARLO JR PAMELA
MAGKLAT MEROUNTA KENTHP ADAMS
OBEDENCAO BATINGAL BATINGAL NAME
SUMAGCA &ALBERCA the
CATITO JADRACUE Denod to
heve
afDecenbe
receved

34 Corgrssional
3rdCongresional
oiine ofice
3rd
Congossional
officsrd Congressional
ofico
3rd
Congossional
ofics
3rd
Congressional
ofico
3rd Congrsional
Cangressional
offico
3rd offeo3rd Congressional
ofice
3rd
1-31 fram
3rd 3rd Congressional
office
Ird
Congresslonal Congressienal
ofñce
etficsCongressional
3rd 3rd office
3rd Corgrersional
Cengrersional
ofice
3nd ofice}rd Cengrersenal
Jrd oficeSrd Cengyessional
olcord oicerd 3rd
Cotgessional
ofles Cengrecsonal
oficard Congressianal 3rd rd DOLE
Cong Congres Congressional
offica Cangrersional
olice
Congresional
affce
Congrersicnal
oce 202n
ASSIGAENT
Bo RO
sional sional
A
the
ofcs ofico
sm
secfed
JULY UTS, JLY JAYG, JULY JLY6, JUAY JJLY
JJLYJULTE,28Z JArG, 202Dto
JLY 6, JULY 6,22
JULY D JLT JULY JAY6, JJMY ALY JJLY
JLY JAY LY6,202 JAT6, JMY MY6
6,210 6, 6, 6,202
LY6, Perled
22 22 2n 6, 6, 6, 6, 6, 6, 6. 6 cngosste
282 22 202 202 202 20Z 202
2012D 20Z 202 202Z 2AZZ
6, 28n 222 22 22 22
te o Covared
o o to o to to to o
DECEMBER DECEABER DECEMBER DECEMBER DECEMBER DECEMBER DECEMBER DECEMBER DECEMBER to to to t to t t te Z
bDECEISER
DECEMBER
31,2172 DECEMBER DECEMBER DECEMDER DECEHBER DECEMBER DECEMBER
34,2022 DECEMBER DECEMBER DECEWBER
DECEMBER DECEMBER DECEMBER DECEMBER DECEMBER DECEMSER DECENBER our
t
the resoectve
)1, ntech
31, D1, 31, 31, 31, 31, 31,222 31, 31,
31, 31,2072 31, 31,2072 31, 31, 31, 31, 31, 31, N, 1, 31, 31,
2VI 2t2 2112 2a 272 202 202 28m 2m 20Z2 M,
202 2022 202 20Zm 2002 20 2022 22 282n 2072 202 2022 names

as
hul
39600 39600 396 00 39600 39600 39600 39600 39600 39%00 39600 alowonce
39600 396.00 39600 396.00 396.00 396,00 39600 39600 39600 396,00 39500 39600 396.00 39500 39500 39500 39600

lor
42700 42100 42700 PQI our
42700 42700 42700 42700 42700 42700 42700 42700 42700 427 00 427.00 427.00 427.00 42700 42700 427.00 427 00 42700 427.00 427.00
4200
7 427.00 42700 427.00 senTces

as
22 22 22 22 N NO
OF
2 22 22 22 22 22 22 22 22 22 2 22 2 INEANS
DAYS

Ior
ABSENCES the
penod

specihed

Wage)
Mi(OHn. TOTAL
DAYS
WORKED in
our
Daily

Wagel(N
mn
TOTAL
DAYB
WORKED DEPARTMENT
21 21 21 21 21 21 21 21 21 21 21 21 21 21 2 21 21 21 21 21 21 21 21 21 21 2t
Republie
Regionat PAYROLI
MPLATE IE
OF
(OLD) LABOIR of
OMee the
Phiipplns
AHD
No
(NEW) HRA EMPLOYMENT
X
UNDERTIME
LATEI

(OLD) MINB

MING

Php306 00

ALLOINNCA
GRO9S

Pho42700
896700 8 8,96700 8,96700 8967 00 8,96700 8067 00 8,96700 8,96700 8,96700 8,96700 8,967008,907.00 8,96700 8,96700 8,96700 8,96700 8,96700 8.96700 8.96700 8,96700 8 8.96700 8,96700 8 8,96700
967 00 96700 8,96700 67
00

Phg40 50
UATEACERTAE
.

n
HOA9

. .

LATEAROERTME

.
OvertiaPay

ALLOWANCEHET

0020
89/ 8967 00 67
(O
17 009
0,967 8 8967
007 896700
0013
8.967 .67091t 0010
8,987 907|8
00 8,98700 8 00:967 8
96700 001967 6

uGMAFLE
4 ALBODER
6ADJ, 43 PUTANTE,
41 ARLAM 40 39 3R 17 % PAVo, 4 1
SULAMAM,
NADu 44 WOTR,SSTEDAGATA 0
|BAPLIN
MAYED
CLAM PROEPERO, PLO, PESCADERO,
PLAL, DETHEA
PRAB, OLADLA0,
PETVA
0EL NARABCA,
SOYEP
SENLLO, JORZA
RETES, 0 RAMAS, We
J0CELYN WASD ty
DONALD ALY6A
CHRIS
CLEF JASPER átede
DANEL CAPUYAN YRA
REY
COLLENCE
BETONIO CAPUYAN BOAW
MOLINA
TAAYO lo
ROMA heb

Congessiernal
offeeJed 3rd Jrd Srd Congreosional
Jrd oficekd rd Cengressional
rd oiceJrd 3rd Brd
Cemgresional
ofica3rd Drd 8Cengia DOLE
3rd
Conoes
siunal
ofee CongrsCongrssienal
ofmce Cengs Conrersbrial
oKice
Cengersional
aflce Cong
Cangros Cenges Cengree
RO
eind
sional sienal siona Rha
sional nienl
ofice ofiee office ofhce ef scs e
oech
JLY6. LY6,202D JULY ALY4,202n JULY JULY MY, LY6, JLY, ULY AILXDECEMBER
1,23ATZDECEBER 22
31
JAYG.ALYS,22 Ped
AIS, ST622 uILDOAHN 2 ooe
6,202 6, 6,20M ,22
20D 2072 20Z 2rZ 202 20O 20 Cared
to to to to to to o to t gr
DECEM9ER DECENSER e
DECEMBER DECEMBER DE-CEMLER DECEMDER DECEMDER DECEMBER DECEMBER DECEMBER DECEVDER
DECEMBER DECEMEER DECEMISER in
e rtpats
th
34, 31, 31, 31, 31, 31, 34, 31.2072 31, 31, 31,
31, 31, 31,72m naes
2072 292 21 20Z 207n 2112 282 22 207 2t2 2122
20

s
k
alonce
396 00 3960 396 00 396 00 396 0 396.00 39600 396.00 39600 39500 39600 39600 296 0 39600 3960 39500
3S%00
for
or
427.00 427.00 42700 427,00 427 00 42700 427.00 427.00 427 0 427 00 427.00 42700 42700 42
09 427O 427D0 tecs

s
DAYA NTERNSe
27 22 22 2 2 2 22

ARLENCES
senod

oecfed

Wage(DiMind TOTAL
DAYS
in
o
Deby

TOTAL
DArs
21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21
2
TENLATE
PAYROLL

(OLD

0EW
UNUERTE
ATU

8,967008,967.00 8,967.00 8,967.00 8,967008,967.00 8,967.00 8.967.00 8.967.00 89670 8967 00 8.967.0 8,9670 89670 8,96700 8957 09 8967 8879
967.00 8

(ATEAJSRTNE

- -

-
LTEUTEP-TE
eTES

-
- -

-
-
-
CoePay

ALLORANCEMET

8,967.00|48 B6744
00 3,96700 D670041 8 8,95700 8,96700
378967.00|36 8 8.967/0032
8
8.670043 96735
00
3 034967 9670033 00348,S67

SSNATURE
4
PAYROLL EMPLATE
Republic of Uhe Phlippines
DEPARTMENT OF LABOR AHD EMPLoYMENT
Regional OfMce Ho, Y

We heeboledoe b have rceved fum DOLE RO Nthe sun soeobed ooooste ou resoecive names as Aul allowance for our servces as INTERNS fot the period specified in our Daily
LATE LATEURTME LATELNOER-TME
ONDERTIME GROSS ALuOWAICE nHOURS UTES O e e Per
NO, OF TOTAL O OAYI in
Peried Cevered in the latership (Otd Min waoe N Min wege REOULAR L DATS NETALLOKANCE SOATUPE
ASSKGAMENT PUI00)
ABSENCEs
Agreernent PJSEO0) WORKINC (Old Min. Wage) min. Wage)
DAYS
HRB HRS MBS MIHE
0EW Pho396.00 Phes328
(OLD (MEW)

TAKLI NOR ASTRAp Shd Congienal oc JRY4 20ZDECEMSER N, 7872 396 00 427.00 2 2 a 9610 8957 004

3xd Cangessinal ce RLY& 202 te DECEMSER J1, 2022 396 00 427.00 2: 21 8967 00 8967 0042

AY2ZZ to DECEMBER 31, 2872 396 00 427.00 22 21 8967.00 849

MLAREEIE ARVN GRAVN Congrsnal e JLY 4, 28Z2 DECEMBER 1,2072 39600 427 00 22 21 8967.00 8957 00 50

SLB-TOTAL 448350.0g 48 350.0o

DNPLE LDUMANDAGAN

1.1CERTFYoy a ah ta he tove 3.ICERTIEY on my offidal oath that I have


Pargscred and that the senices have processed the released of funds for the
tees tuy rerdered payment of salaries of GIP benefidaries

GAG NAM TAC NOVIE JANE B. PANIAGUA


Cashier

2 Porroespeye fhom Acpraprzon

ATTY. PANDOLF CPENSOY


PAYROLL TEMPLATE

Ropublie of the Philippines


DEPARTMENT OF LABOR AMD EMPLOYWENT
Regional OMce No. X

We hereby Bdnowiedoe to have received fom DOLE RO XI the sum sected osooste our respecive names as ul allowance tor our services as INTERNs for the period specihed in our Daily
Ime Record (DIR\caenina the nenad ot Decembe 131 2022
LATE LATEOERTIE LATEUNCER-TME
UNDERTIM GRCSS ALL OWANCE nHOURS MUTES Overme Pay
TOTAL DAYS TOTAL DAYS
NAME ASSKNEN Peciod Cover he thip (O4 Min wage eg ABSENCEg
Ageement PQ7.00
wORKED WORKED NET ALLOWANCE SIGNATURE
DAYS (Old Min. Wage) Na min Wage)
HRS M
NEW Pro396 00 PheA27 00
(OLD OLD NEV

TANKE NOR ASTRAP Jrd Congrsional c JARY 202 te DECEMBER X, 26 396 00 427 00 21 8967 00 8957 0047

TUNGHHOLH, CARLO REY 3d Cangressianal olice JULY &2022 to DECEMBER J1, 2022 396 00 427 00 21 8967 00 8 967 004P

USHAN ALMO 3d Congressional oica ULY 202 t DECEMSER 1, 22 396 00 427.00 21 8967 00

WLAFURIE ARVN GRAVINO 3rd Congreesianal oica JLY 6 282 to DECEMBER N, 20n 395 00 427.00 21 8967 0S 8,957 00 50
SUB TOTAL 442350 0 42 350 D0

Funds Avabe

DIMPLE T DUMANDAGAN
Accountant Ll

1.1CERTIEY on my ofical oath that the bove 3 1CERTIEY on my offical oath that I have
Payrol s cored and that the sences have processed the released of funds for the
been fuly rendered payment of salanies of GIP beneficaries.

FNGA GMAMTLG NOVME JANE B. PANAGUA


boLEX- DCFO Chiet Cashier

2 Aogroved payzie trom Aprapriation

ATTY. RANDOLF C. PENSoY


Regorna Drecior
1.1CERTIY on my ofical cath that the above
Pzyrol s coed and that the svices nave
been fuly rerdered
PAYROLL TEMPLATE
Republle of the Philipplnes
DEPARTMENT OF LABOR AND EMPLOY MENT
Reglonal OMce No. X

yoxnomedge lo have receved from DOLE RO XI the sum speahed opposle our respective names as full allowance lor our services as
TIms Rood(DIR) Cvoing INTERNS lor the period speafied in our Daily
the penog Decerber 1631.2022
LATEAJNCER-TIME LATEAUNDER-TIME
LATE
UNDERTIME GROSS ALLOWANCE n HOURS in MINUTES Overtime Pay
NO. OF NET
TOTAL DAYS TOTAL DAYS SIGNATURE
NAME Period Covered in the (Old Min, waoe Nw Min. wage REGULAR
ASSIGNMENY ABSENCES WORKED WORKED ALLOWANCE
Internship Agreement P396.00) P427.0O) WORKING
DAYS (o1d Min. Wage) (New min. Wage)
HRS HRS MINS MINS.
Pho396 00 Pho417 00 PhoAg 50 Pro5338 Pho0 825 Pho0 890 Pho396 00| Php427 00
(OLD) (NEW) (OLD) (NEW)

CACHO, MA LOUNISA F DOLEXI.DCFO AUGUST 1, 2072 to 4270 00 4.270.00


396 00 427 00 11
-

DECEMBER 34,2022 10

2 GONZAGA MARINHELC AUGUST1 2022 te 4.270 00 4270.00


DOLEXI-DCFO 396 00 427 00 11 10
-

DECEMBER 31, 2022

3 UMBING CARLA JOY P. DOLEX-DCFO


AUGUST 1.2022t 4 27000 4270.00
nECSMBER 31. 2022 396 00 427.00 11 10
-

4 ORENIO, JENNIEANN AUGUST 1, 2022 to 4,270.00 4,270.00


DOLEX-DCFO 396.00 427.00 11 10
DECEMBER 31, 2022

17,080.00 17,080.00

Funds Avalabie

DIMPLE T. DUMANDAGAN
Accountant ll

1 1CERTEY on my offiaal oath that the above 31CERTIEY on my offiaal oath that Ihave
Payroll is Corecd and that the services have processed the released of funds for the
Deen tuy renoeea
payment Ol Saianes Ol GI Denenaanes.

FKLMDA G. MAMTAG NOME JANE B. PANIAGUA


boLEN-DCFO Chel LEOW Cashier

2 Aporoved payable trom Appropnaton

ATTY RANDOLF CPENSOY


Regonal Dretor
11CERTIEY n my ofiaa aath that the above
Payrol s camec and that the senvioes have
been tuty rerndared
KANOF6
FNBoYAL

NOVIE

JANE
h,
PANIAGUA

11

15,0

149S4 A70.09

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