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38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
N OFFICE OF THE RURAL Period of Service N
U HEALTH UNIT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PHILHEALTH CAPITATION From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R FUND 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ma. Mercedes P. Ballarta Mun. Health Officer 64,687.50 64,687.50 1
2 Connie B. Calinao Nurse I 2,812.50 2,812.50 2
3 Cynthia C. Jaque Midwife III 2,812.50 2,812.50 3
4 Elna L. Caro Midwife II 2,812.50 2,812.50 4
5 Elna C. Latumbo Midwife II 2,812.50 2,812.50 5
6 Elena L. Lequisia Midwife II 2,812.50 2,812.50 6
7 Teresita C. Legarde Midwife II 2,812.50 2,812.50 7
8 Sonia L. Esteva Midwife II 2,812.50 2,812.50 8
9 Lornaly L. Montes Midwife II 2,812.50 2,812.50 9
10 Rosemarie T. Lechugas Midwife II 2,812.50 2,812.50 10
11 Claren P. Leal Midwife II 2,812.50 2,812.50 11
12 Mary Grace L. Lapizar Midwife II 2,812.50 2,812.50 12
13 Remegias L. Librando R.S.I. II 2,812.50 2,812.50 13
14 Ma. Grace L. Latoza R.S.I. II 2,812.50 2,812.50 14
15 Frezil B. Pacificar Midwife II 2,812.50 2,812.50 15
16 Joann P. Montiar Midwife I 2,812.50 2,812.50 16
17 Jenelyn C. Lopez Midwife I 2,812.50 2,812.50 17
18 Ma.Luz L.Lizada Sanitation Inspector II 2,812.50 2,812.50 18
19 Mary Felicity L. Dideles Midwife II 2,812.50 2,812.50 19
20 Nelson A. Gabata Medical Technolist I 2,812.50 2,812.50 20
21 Nida L. Fernandez Utility Worker II 2,812.50 2,812.50 21
22 Danny L. Legarda H.E.O. I 2,812.50 2,812.50 22
23 John Legarde Casual Employee 2,812.50 2,812.50 23
24 Dolores C. Campaniel Dentist 2,812.50 2,812.50 24
Total Carried Forward 129,375.00 129,375.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MA. MERCEDES BALLARTA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to ONE HUNDRED TWENTY NINE THOUSAND THREE HUNDRED SEVENTY
_FIVE PESOS ONLY_________ (P 129,375.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MA.ARLENE P. LAVILLA OIC-Mun. Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
LAVILLA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
N Period of Service N
U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
p NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R January-December, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Jeric Albao Helper January December 1,500.00 1,500.00 1
2 Jose Neri Aligante HEO January December 3,000.00 3,000.00 2
3 Benjo Alonday Driver January December 3,000.00 3,000.00 3
4 Restituto Arceta Electrician January December 3,000.00 3,000.00 4
5 Alfredo Bactol Sr. Tinsman/welder January December 1,500.00 1,500.00 5
6 Arnel Bactol Welder January December 1,500.00 1,500.00 6
7 Marvin Jay Camacho Driver January December 3,000.00 3,000.00 7
8 Vicente Jalbuena Driver January December 3,000.00 3,000.00 8
9 Ma.Sharon Labordo Casual Clerk January December 3,000.00 3,000.00 9
10 Rio Lares Driver January December 2,000.00 2,000.00 10
11 John Legarde Driver January December 3,000.00 3,000.00 11
12 Renejoe Lisao Driver January December 2,000.00 2,000.00 12
13 Renato Loberiza Driver January December 2,000.00 2,000.00 13
14 Alfredo Magbanua Driver January December 3,000.00 3,000.00 14
15 Pedro Magbanua Driver January December 3,000.00 3,000.00 15
16 Stephen Lee Mandadero C.E. Aide January December 3,000.00 3,000.00 16
17 Edwin Pacifico Electrician/Helper January December 3,000.00 3,000.00 17
18 Jose Rene Pilla PIC January December 3,000.00 3,000.00 18
19 Rolando Suarnaba Driver January December 3,000.00 3,000.00 19
20 Glemuel Untalan HEO January December 3,000.00 3,000.00 20
Total Carried Forward 52,500.00 52,500.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TWENTY FOUR THOUSAND PESOS ONLY.
______________________________ (P 24,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from REY LEGARIO OIC - Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
N Period of Service N
U (Inclusive Dates) Amount Amount U
M Daily Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Optional Deduc- Due in Cash B Signature/Cedula Number
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Insurance tions (CR. A-1) E
Cedula Number
R July 1-15, 2017 Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 16 17 18 19 20 21
1 Efren Mark Nobela Job-Hire July 1, 2017 July 15,2017 500.00 5,000.00 29654259 5,000.00 1
2 Keven Laruscain Job-Hire April 16, 2017 April 30,2018 300.00 29653622 - 2
3 Frezel Jade Lebrilla Job-Hire April 16, 2017 April 30,2019 300.00 - 3
5 5
6 - 6
7 - 7
8 - 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 Total Carried Forward 20
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that 5,000.00 5,000.00
10,000.00
services above stated have been duly rendered. Payment for such services is also hereby ap- (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
proved from the appropriation indicated. ployee whose name appears on the above roll the amount set opposite his name, under column
21, the having signed or marked his name under column 24 above, in my presence and at the
time the payment was made to him in acknowledgement of receipt of the money paid him.
, 2007
(2) APPROVED for payment subject to preaudit: ___________________________________ DANILO LOBERIZA (Signature)
GSO , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
(3) Preaudited and approved for payment in the month of ____________________________ column 21 above, opposite his name. The total of tge payments made by means this payroll
amounts to __________________
______________________________ (P ___________) pesos only.
(P____________) pesos only.
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
N Period of Service N
U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R August 1 - 31, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Caretaker/Radio 8/1/12 8/31/12
1 Felix Lozada 1,000.00 1,000.00 1,000.00 1
Com.Repeater
2 xxxxxxxxxxxxxxxxx Com.Repeater - 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 - 8
9 - 9
10 - 10
11 - 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 1,000.00 1,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MA. ARLENE P. LAVILLA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to EIGHT THOUSAND PESOS ONLY.
______________________________ (P 8,000.00) pesos only.
(P____________) pesos only.
MA. ARLENE P. LAVILLA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.