We acknowledge receipt of the sum shown opposite our Page 1

Reference No.: BatStateU-FO-ACC-08-B
Effectivity Date: January 3, 2017
Revision No.: 00
GENERAL PAYROLL
SALARIES AND WAGES OF CONTRACTUAL __________________ FOR THE PERIOD OF ___________________
We acknowledge receipt of the sum shown opposite our
names as full compensation for services rendered for the period stated:
No.
ACCOUNT
RATE/
NAME
NUMBER
POSITION
HOUR
Page 1
ALLOW/TOTAL HRS.
TOTAL HRS.
HOUR Jan.1-15 RENDERED
GROSS
AMOUNT
Conso/loan
BSU
COOP
CERTIFIED: Services have been duly rendered as stated:
DR. CYNTHIA Q. MANALO
VP for Academic Affairs
ELA
MPL
DEATHLIFE AND
AID RETIREMENT
NET AMOUNT
pag-ibig
Med.
W/Tax
NO.RECEIVED
APPROVED FOR PAYMENT:
Date
Certified: Funds available in the amount of:
-
LOLITA M. ATIENZA
DIR. Finance Services Office
Accountant III
Date
5-01-01-020-Salaries and Wages
5-01-02-010 - PERA
2-02-01-010 - Due to BIR
2-02-01-020 - Due to GSIS
Calamity
Educ. Loan
Life & Ret. Prem.
Conso Loan
Cash Advance
2-02-01-030- Due to Pag - Ibig
Calamity
Multi-Purpose Loan
2-02-01-040 - Due to PhilHealth
2-99-99-990- Other Payables
2-99-99-990- Other Payables-BSU COOP
2-99-99-990- Other Payables- Death Aid
1-01-02-020 - Cash in Bank
-
LUZVIMINDA CATAPANG - ROSALES
VP for Administration and Finance
Date
0
-
-
NAME OF DISBURSING OFFICER
DISBURSING OFFICER
-
Approved by the Board of Regents as per Board Resolution No. 481, series of 2016
Date