Company Employee

ACKNOWLEDGEMENT RECEIPT

CD-R KING

Apr.**-May.*, 2015

EMPLOYEE NUMBER : CMRC-19797 CUT-OFF DATE : EMPLOYEENO.: CMRC-19797

EMPLOYEE NAME : TRINIDAD, ELOISA PAYROLL DATE : 05/15/15 EMPLOYEE NAME : TRINIDAD, ELOISA

STATUS : Contractual POSITION : ASST. BRANCH HEAD CUT-OFF DATE: Apr.21-May.5, 2015

EARNINGS AMOUNT DEDUCTIONS AMOUNT

4,188.00 272.50

REG.DAYS 12 SSS

2,126.67 56.25

REG OT 39 PHILHEALTH I HEREBY CERTIFY THAT I RECEIVED THE SAID SALARY/

738.00 50.00

LEG HOL (Worked) 1 PAG-IBIG OT PAY TO MY COMPLETE AND FULL SATISFACTION

- 120.00

WDO / SPL PROVIDENT FUND AND HEREBY RELEASE AND DISCHARGE THE COMPANY

- 125.00

WDO / SPL OT HMO AND/OR OFFICERS FROM ANY CLAIMS INCIDENT TO PAST

- -

LH OT LATES AND PRESENT EMPLOYMENT AGAINST THE SAID COMPANY.

240.00 -

COLA UNDERTIME

7,292.67 623.75 6,668.92

TOTAL DEDUCTIONS: NET PAY:

6,668.92

NET PAY:

LOAN BAL: RECEIVED BY:

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