PAYROLL

________________________________________
Period Covered
Barangay: Talimundoc, San Miguel City / Municipality: Concepcion Payroll No. _____________
Telephone No. ____________________________ Province of Tarlac
COMPENSATION
NET SIGNATURE COMMUNITY
NO. NAME POSITION Salaries & BIR AMOUNT OF TAX NO.
Wages- TOTAL Withholding TOTAL DUE RECIPIENT
Regular Honorari Tax
a

A] Certified B] Certified C] Certified D] Paid by:

Existence of available appropriations for
the charges expenses indicated above.
Signature: ________________________
Printed Name: Domingo Santiano
Position: Chairman Committee
Appropriation
Date: ______________________
Forces (cash) available
Signature: _________________________
Printed Name: Jose Pangilinan
Position: Barangay Treasurer
Date:_________________________
As to validity, propriety, are legality of claiming
Approved:
For payment:
Signature: ____________________________ Signature: _________________________
Printed Name: Adriano Miclat Printed Name: Jose Pangilinan
Position: Punong Barangay Position: Barangay Treasurer
Date: __________________________ Date: __________________________