SOUTH STAR DRUG

AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct

from my payroll covering period _____________________

Amount in words: ONE HUNDRED FIFTY SIX

one hundred fifty six pesos only
Amount in Peso: Php 156.00

Reason for deduction:

( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BCP (SKU 58971)
( ) others pls specify _____________________

LORIMAY MONTIEL CE986345 11/12/2023

Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________

and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments

( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

LORIMAY MONTIEL CE986345

Store Manager Cash Dept. Head
 SOUTH STAR DRUG
AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct

from my payroll covering period _____________________

Amount in words: ONE HUNDRED FIFTY SIX

one hundred fifty six pesos only
Amount in Peso: Php 156.00

Reason for deduction:

( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BCP (SKU 58971)
( ) others pls specify _____________________

CAMILLE FONTARUM CE982351 11/12/2023

Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________

and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments

( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

LORIMAY MONTIEL CE986345

Store Manager Cash Dept. Head
 SOUTH STAR DRUG
AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct

from my payroll covering period _____________________

Amount in words: FIFTY ONE PESOS & FIFTY CENTS

one hundred fifty six pesos only
Amount in Peso: Php 51.50

Reason for deduction:

( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BCP(SKU 56684)CLOVIX
( ) others pls specify _____________________

CAMILLE FONTARUM CE982351 12/6/2023

Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________

and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments

( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

CONCHITA BAGUHIN CE5060

Store Manager Cash Dept. Head
 SOUTH STAR DRUG
AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct

from my payroll covering period _____________________

Amount in words: FIFTY ONE PESOS & SEVENTY CENTS

one hundred fifty six pesos only
Amount in Peso: Php 51.70

Reason for deduction:

( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BC (SKU 56684)CLOVIX
( ) others pls specify _____________________

CONCHITA , BAGUHIN 12/06/2023

Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________

and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments

( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

CONCHITA BAGUHIN CE5060

Store Manager Cash Dept. Head