SDO-PM/WIM-QF-OSDS-FS-ACC-001

Effectivity Date: 06-01-2018

Name of Office OSDS-FS-Accounting

Fund Cluster :
REGULAR FUND
Date :
DV No. :

Mode of
Payment MDS Check Commercial Check X ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LANDBANK OF THE PHILIPPINES

Iba, Zambales
Address
Responsibility
Particulars MFO/PAP Amount
Center
070010803007 100010000 452,242.77

To payment of Supplementary Payroll of ELEMENTARY -

(Maternity, Salary Diff. due to Promotion/Reclass, Step Increment, Unpaid Salary & Unpaid New )
for the month of September 2018 - ZONE 1 as per supporting papers
hereto attached.

Amount Due 452,242.77

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

ARNEL E. SERAFICA
Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Basic Salary - Civilian 5010101001 477,946.47
PERA - Civilian 5010201001 24,909.09
Lump-sum for Step Increments - Length of Services 5010499010 -
RLIP CONTRIBUTION 5010301000 56,302.54
PAG-IBIG - Civilian 5010302001 1,200.00
PHILHEALTH - Civilian 5010303001 3,605.60
ECIP - Civilian 5010499010 1,200.00
Due to NGA (BIR) 2020101000 3,581.77
Due to GSIS 2020102000 99,727.96
Due to PAG-IBIG 2020103000 2,400.00
Due to PHILHEALTH 2020104000 7,211.20
 Cash, MDS-Regular 1010404000 452,242.77

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

#NAME?
Supp
proper

Signature Signature

Printed
Printed Name
Name JOSEPH RANSTEDT V. COLLADO ROMEO M. ALIP,Ph. D., CESO V
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : LBP-Iba Branch
Date : Printed Name:
Signature : LANDBANK OF THE PHILIPPINES
Date :
Official Receipt No. & Date/Other Documents

QF-OSDS-FS-ACC-001

Revision: 00

ectivity Date: 06-01-2018

ice OSDS-FS-Accounting

JEV No:
URNAL ENTRY te:
VOUCHER
Fund Cluster: REGULAR FUND
ns
ACCOUNTING
ibi ENTRIES
CS
lit Obj Amount
y ectDebit
Accounts and Explanation
Credit Mater
StepSa
Unpaid/Refund
Increment
UnpaidTOTAL
(New)
DIFFERENCE
C Co
0 Basic
### ### Salaries ##################
 PERA
###
### PERA #########

Lu
mp
-
su
m
for
Ste
p
Inc
re
me
nts
-
Len
gth
of
Ser
vic
es ### - Longevity Pay ###
RLIP###### RLIP Contributi###############
PAG-###### PAG-IBIG Contributio #########
PHIL###### PHILHEALTH Contribu #########
ECIP###### ECC Contributions #########
### ### Due to NGA (BIR) ### ###
### ### Due to GSIS ###############
### ### Due to PAG-IBIG #########
### ### Due to PHILHEALTH#########
PVP Overpayment
### ### Cash, MD ##################

To payment of Supplementary Payroll of ELEMENTARY -

(Maternity, Salary Diff. due to Promotion/Reclass, Step Increment, Unpaid Salary &
& Unpaid New ) for the month of September 2018 - ZONE 1 as per
supporting papers
0
0
######
PrepareCertified C

JOSEPH0 RANSTEDT V. COLLADO

0 Accountant III

_________
OBLIGATION REQUEST AND ______
STATUS
 SCHOOLS DIVISION OF DAT
ZAMBALES E:
Fund
LANDBANK OF THE
Payee PHILIPPINES Cluster :
Office
Address
S
Responsib MFO/ Amo
Particulars Objec
ility Center PAP unt
t
070010803007Basic Salary- ### -
PERA- Civili ### -
Longevity Pay ### -
Retirement a ### -
Pag- IBIG- Ci ### -
PhilHealth- Ci ### -
ECIP- Civilia ### -

ZONE 1
Elementary
September
2018

TOT
AL -
Certified: Charges to Certified:
A. appropriation/ allotment B. Allotment
are necessary, lawful available and
and under my direct obligated for the
supervision;and purpose/adjustme
Signature : Signature :
Printed Name: 0 PrintedELLEN A. SOL
Position : 0 Position
AO V for Finance Services
Requesting Representativ
Office/Authori e
zed
Representativ
Date Date
C. STATUS OF OBLIGATION
Reference Amount
Balance

ORS/JEV
Obligation
PayablePayment
/Check/
DateParticulars
ADA/TRA
No.
 Du
e
No an
ORS/JEV
PayablePayment t d
Obligation
/Check/ Yet De
DateParticulars Du ma
ADA/TRA e nd
No. abl
e

(a) (b) (c) (a-b)(b

-c)

QM-PAGE 1 OF 1
SUMMARY OF REMITTANCES
GSIS
For the month of AUGUST 2012 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of SEPTEMBER 2012 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

 SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of OCTOBER 2012 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of NOVEMBER 2012 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of DECEMBER 2012 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JANUARY 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of FEBRUARY 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MARCH 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of APRIL 2013 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MAY 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JUNE 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JULY 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of AUGUST 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of SEPTEMBER 2013 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of OCTOBER 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of NOVEMBER 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of DECEMBER 2013 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD

ADMINISTRATIVE ASSISTANT III

SUMMARY OF REMITTANCES
GSIS
For the month of JANUARY 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of FEBRUARY 2014 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MARCH 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of APRIL 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MAY 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JUNE 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JULY 2014 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of AUGUST 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of SEPTEMBER 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of OCTOBER 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of NOVEMBER 2014 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of DECEMBER 2014 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JANUARY 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of FEBRUARY 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MARCH 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of APRIL 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MAY 2015 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JUNE 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JULY 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of AUGUST 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of SEPTEMBER 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of OCTOBER 2015 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of NOVEMBER 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of DECEMBER 2015 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JANUARY 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of FEBRUARY 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
1 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MARCH 2016 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of APRIL 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MAY 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JUNE 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JULY 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###
### ###
###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of AUGUST 2016 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of SEPTEMBER 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of OCTOBER 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of NOVEMBER 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of DECEMBER 2016 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JANUARY 2017 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
3 ###
###### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of FEBRUARY 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
3 ###
###### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MARCH 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of APRIL 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of MAY 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###
### ###

###
###
###
###

Prepared and Certified Correct:

MILAROS E. ECLEVIA
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JUNE 2017 (ELEMENTARY)
 PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###

###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of JULY 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of AUGUST 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###
 ###
###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
GSIS
For the month of SEPTEMBER 2017 (ELEMENTARY)

PO T
BP
LIC O
NU P G E
Y T
MB S S C
NO A
ER
. L
LP02003445245
1 ###
###### ###
2 ###
###### ###

###
###
###
###
 Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 ASUN###
### ###
3 ECLE###
### ###
4 IBAR###
### ###

TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
 MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A

SE
NA,
ARL
2 EN ###
E
SIS
ON
2003078468
###
ASUN###
### ###
ECLE###
### ###
IBAR###
### ###

TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 2003078355
MISO ### ###
 SE
NA,
ARL
3 EN ###
E
SIS
ON
2003078468
###
ASUN###
### ###
ECLE###
### ###
IBAR###
### ###

TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 2003078355
MISO ### ###

SE
NA,
ARL
3 EN ###
E
SIS
ON
2003078468
###
4 ASUN###
### ###
 5 ECLE
###
### ###
6 IBAR
###
### ###

TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 2003078355
MISO ### ###
South Central

SE
NA,
ARL
3 EN ###
E
SIS
ON
2003078468
###
4 GABR2###
00 ### CANDELARIA
5 ASUN###
### ###
6 ECHA###
### ###
7 ECLE###
### ###
8 IBAR###
### ###
9
###
###
TOTAL###
###
###

Prepared and Certified Correct:

 SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 2003078355
MISO ### ###
SOUTH CENTRAL

SE
NA,
ARL
3 EN ###
E
SIS
ON
2003078468
###
4 ASUN###
### ###
5 ECHA###
### ###
6 ECLE###
### ###
7 IBAR###
### ###
8 ###
9TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the m
 T
O
BP E T
NO P CI A
NAME . S P L
MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 2003078355
MISO ### ###

SE
NA,
ARL
3 EN ###
E
SIS
ON
2003078468
###
4 ASUN###
### ###
5 BARN###
### ###
6 ECHA###
### ###
7 ECLE###
### ###
8 IBAR###
### ###
9 ###
TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the m

T
O
BP E T
NO P CI A
NAME . S P L
 MA
RY,
SU
SA
1 ### ###
N
MA
NIL
2003078831
A
2 2003078355
MISO ### ###
SOUTH CENTRAL

SE
NA,
ARL
3 EN ###
E
SIS
ON
2003078468
###
4 2003072050
RICH ### ###
CANDELARIA
5 AMOR###
### ###
6 ARAG###
### ###
7 ASUN###
### ###
8 BARN###
### ###
9 CAST###
### ###
###EBUE###
### ###
###ECHA###
### ###
###ECLE###
### ###
###EDAD###
### ###
###ESMA###
### ###
###IBAR###
### ###
###
###
###
TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the m

T
O
BP E T
NO P CI A
NAME . S P L
 MA
NAL
O, 20
RU 04
1 TH 74
### ###
BU 16
QU 04
ER
ON

MA
RY,
SU
SA
2 ### ###
N
MA
NIL
2003078831
A
3 2003078355
MISO ### ###
SOUTH CENTRAL

SE
NA,
ARL
4 EN ###
E
SIS
ON
2003078468
###
5 2003027648
JEAN ### ###
CANDELARIA
6 RICH ###
2 ###
CANDELARIA
7 OLIV200
### ###
8 ALCA###
### ###
9 AMOR###
### ###
###ARAG###
### ###
###ASUN###
### ###
###BARN###
### ###
###CAST###
### ###
###EBUE###
### ###
###ECHA###
### ###
###ECLE###
### ###
###EDAD###
### ###
###EDNI###
### ###
###ESMA###
### ###
###IBAR###
### ###
###
TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the m

T
O
BP E T
NO P CI A
NAME . S P L

MA
NAL
O, 20
RU 04
1 TH 74
### ###
BU 16
QU 04
ER
ON

MA
RY,
SU
SA
2 ### ###
N
MA
NIL
2003078831
A

ME
DR
AN 20
A, 03
3 JOA 07 ###
NN 86
MA 34
RAV
E
### SOUTH CENTRAL
4 2003078355
MISO ### ###

SE
NA,
ARL
5 EN ###
E
SIS
ON
2003078468
###
6 2003027648
JEAN ### ###
7 RICH ###
2 ###
CANDELARIA
8 OLIV200
### ###
9 ALCA###
### ###
###AMOR
###
###
###
###ARAG
###
###
###
###ASUN
###
###
###
###BAGA
###
###
###
###BARN
###
###
###
###CAST
###
###
###
###EBUE
###
###
###
###ECHA
###
###
###
###ECLA
###
###
###
###ECLE
###
###
###
###EDAD
###
###
###
###EDNI
###
###
###
###ESMA
###
###
###
###IBAR
###
###
###
###PALA
###
###
###
TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L
DO
NAT
O,
EMI
1 ###
LY
EB
UE
N
2003078573
###
 ED
QUI
LA,
RIY
AH
2 ###
MA
E
FAY
TO
NE

2005457216
###

ESP
INO
SA,
FE
3 AG ###
AC
OS
CO
S
2003078228
###

LEG
ASP
I,
ME
4 ###
RJU
RIE
MIN
IMO

2005458465
###

MA
NAL
O, 20
RU 04
5 TH 74
### ###
BU 16
QU 04
ER
ON
SOUTH CENTRAL
MA
RY,
SU
SA
6 ### ###
N
MA
NIL
2003078831
A
 ME
DR
AN 20
A, 03
7 JOA 07 ###
NN 86
MA 34
RAV
E
###
8 2003078355
MISO ### ###

NE
RO
NA,
ED
9 NA ### ###
ED
NA
LIN
O
2003078522

SE
NA,
ARL
###EN ### ###
E
SIS
ON
2003078468
GIN
A
M.
### ### ###
UR
BA
NO
20-0545-7962 NORTH CENTRAL

NY
CO
LE
AN
###NE ### ###
M.
MO
RA
ÑA

20-0545-7517
###JEAN200
### ###
CANDELARIA
###RICH ###
2 ###
###OLIV200
### ###
###ALCA
###
### ###
###AMOR
###
###
###
###ARAG
###
###
###
###ASUN
###
###
###
###BAGA
###
###
###
###BARN
###
###
###
###CAST
###
###
###
###EBUE
###
###
###
###ECHA
###
###
###
###ECLA
###
###
###
###ECLE
###
###
###
###EDAD
###
###
###
###EDNI
###
###
###
###ESMA
###
###
###
###IBAR
###
###
###
###PALA
###
###
###
###SANT
###
###
###
TOTAL###
###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMM
GSIS
for the

T
O
BP E T
NO P CI A
NAME . S P L

ED
QUI
LA,
RIY
AH
1 ###
######
MA
E
FAY
TO
NE

2005457216 ### ###

 LEG
ASP
I,
ME
2 ######
RJU
RIE
MIN
IMO

2005458465
###

MA
NAL
O, 20
RU 04
3 TH 74### ###
BU 16
QU 04
ER
ON

MA
RY,
SU
SA
4 ### ###
N
MA
NIL
2003078831
A South Central

ME
DR
AN 20
A, 03
5 JOA 07### ###
NN 86
MA 34
RAV
E

MIS
A,
20
ARI
05
AN
6 46###
######
E
37
DA
85
MIA
S

7 2003078355
MISO ### ###
 PAN
DI,
MA 20
RY 05
8 JAN 42 ######
E 44
VAL 69
DE
Z
###

SE
NA,
ARL
9 EN ### ###
E
SIS
ON
2003078468

MA
RY
GR
AC
### ###
######
E R.
MA
NT
ES
20-0514-8539

ALE
XA
ND
###RIA ###
######
T.
MA
RTY
20-0543-7293
WIL
SO
N
M.
### ###
######
FER
NA
ND
EZ
20-0543-7293 North Central
GIN
A
M.
### ###
######
UR
BA
NO
20-0545-7962
 NY
CO
LE
AN
###NE ###
######
M.
MO
RA
ÑA

20-0545-7517
###2003027648
JEAN ### ###
CANDELARIA
###RICH ###
2 ###
###2003007249
LOID ######
###
###2004347146
JEAN ######
###
###OLIV200
### ###
###ABAS###
### ###
###ALCA###
### ###
###ALFI###
### ###
###AMOR###
### ###
###ARAG###
### ###
###ASUN###
### ###
###BACERDO
######
###
###BAGA###
### ###
###BARN###
### ###
###CAST###
### ###
###DE G###
### ###
###EBUE###
### ###
###ECAL###
### ###
###ECHA###
### ###
###ECLA###
### ###
###ECLE###
### ###
###EDAD###
### ###
###EDNI###
### ###
###ELBA###
### ###
###ESMA###
### ###
###IBAR###
### ###
###PALA###
### ###
###SANT###
### ###
TOTAL ### ###
###

Prepared and Certified Correct:

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
 SUMMARY OF REMITTANCES
PHILHEALTH
###

T
PH O
IC T
NO P A
NAME . S L
1020508300027
0 ######
01
05
02
08
37
2 0 54
######
3040501206352
0 ###### south central
01
05
02
08
37
4 0 54
### ###
5 MARY7###
-20###
6 ALEX7-00
### ###
7 WILS7-20
### ### north central
8 GINA7-05
### ###
9 NYCO7-25
### ###
###LOID070
### ### CANDELARIA
###JEAN190
### ###
###
01-051542189-6
BACE ### ### MASINLOC
###
### ###

TOTAL
###
###

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
 PAGIBIG
###

T
O
HD T
MF P A
NAME NO S L
1121175101669
0 ######
12
10
52
26
70
2 0 08
######
12
10
52
26
70
3 0 08
### ### south central
4121203584200
0 ### ###
5 MARY9###
182###
6 ALEX1212
### ###
7 WILS121-
### ### north central
8 GINA1210
### ###
9 NYCO1212
### ###
###LOID1420
### ### CANDELARIA
###JEAN121
### ###
###BACE###
### ###
TOTAL### ###

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
SUMMARY OF REMITTANCES
WITHHOLDING TAX
for the month of SEPTEMBER 2018

BA T
SIC O
SA T
LA A
NAME RY L
 LOI
DA
M
ME
DR
AN
O
1 42,0
###
TOTAL###

SHIELA E. ELAD
ADMINISTRATIVE ASSISTANT III
GSI - ###
PHILHEALTH
PAG-IBIG
BIR
WIM-QF-OSDS-FS-ACC-001
Revision: 00
Effectivity Date: 06-01-2018
Office OSDS-FS-Accounting

und Cluster :
REGULAR FUND
ate :
V No. :

_____________
RS/BURS No.:

Amount
452,242.77

452,242.77

Credit

3,581.77
99,727.96
2,400.00
7,211.20
 452,242.77

IP,Ph. D., CESO V

on Superintendent
orized Representative