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Appendix 33
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PAYROLL
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For the period
to
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Entity Name : ___________________________________
Payroll No. :
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Fund Cluster : Sheet of
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Serial No.NamePositionEmployee No.COMPENSATIONSD E D U C T I O N SNet Amount DueATM NUMBERSignature of Recipient
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Salaries & Wages-RegularPeraGross Amount EarnedGSISPag IbigPhilhealthW/holding TaxTotal Deductions
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- - - - - - - - -
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ACERTIFIED: Services duly rendered as stated.C
APPROVED FOR PAYMENT:
P
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PrincipalDatePrincipalDate
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B
CERTIFIED: Supporting documents complete and proper; and cash available
DCERTIFIED: Each employee whose name appears on the payroll has been paid the amount as indicated opposite his/her nameE
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in the amount of PORS/BURS No. :
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Date :
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JEV No. :
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PrincipalDatePrincipalDate :
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