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Provincial Form No.

38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.
N OFFICE OF THE RURAL Period of Service N
U HEALTH UNIT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PHILHEALTH CAPITATION From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R FUND 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ma. Mercedes P. Ballarta Mun. Health Officer 64,687.50 64,687.50 1
2 Connie B. Calinao Nurse I 2,812.50 2,812.50 2
3 Cynthia C. Jaque Midwife III 2,812.50 2,812.50 3
4 Elna L. Caro Midwife II 2,812.50 2,812.50 4
5 Elna C. Latumbo Midwife II 2,812.50 2,812.50 5
6 Elena L. Lequisia Midwife II 2,812.50 2,812.50 6
7 Teresita C. Legarde Midwife II 2,812.50 2,812.50 7
8 Sonia L. Esteva Midwife II 2,812.50 2,812.50 8
9 Lornaly L. Montes Midwife II 2,812.50 2,812.50 9
10 Rosemarie T. Lechugas Midwife II 2,812.50 2,812.50 10
11 Claren P. Leal Midwife II 2,812.50 2,812.50 11
12 Mary Grace L. Lapizar Midwife II 2,812.50 2,812.50 12
13 Remegias L. Librando R.S.I. II 2,812.50 2,812.50 13
14 Ma. Grace L. Latoza R.S.I. II 2,812.50 2,812.50 14
15 Frezil B. Pacificar Midwife II 2,812.50 2,812.50 15
16 Joann P. Montiar Midwife I 2,812.50 2,812.50 16
17 Jenelyn C. Lopez Midwife I 2,812.50 2,812.50 17
18 Ma.Luz L.Lizada Sanitation Inspector II 2,812.50 2,812.50 18
19 Mary Felicity L. Dideles Midwife II 2,812.50 2,812.50 19
20 Nelson A. Gabata Medical Technolist I 2,812.50 2,812.50 20
21 Nida L. Fernandez Utility Worker II 2,812.50 2,812.50 21
22 Danny L. Legarda H.E.O. I 2,812.50 2,812.50 22
23 John Legarde Casual Employee 2,812.50 2,812.50 23
24 Dolores C. Campaniel Dentist 2,812.50 2,812.50 24
Total Carried Forward 129,375.00 129,375.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MA. MERCEDES BALLARTA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to ONE HUNDRED TWENTY NINE THOUSAND THREE HUNDRED SEVENTY
_FIVE PESOS ONLY_________ (P 129,375.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MENRO Period of Service N


U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Juanito D. Lasugas Agriculturist II 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Ma. Neneth L. Mantilla Agr'l. Technologist 10/01/11 10/31/11 2,000.00 2,000.00 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 4,000.00 4,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
JUANITO D. LASUGAS (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to FOUR THOUSAND PESOS ONLY.
______________________________ (P 4,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE TOURISM Period of Service N


U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Jennifer L. Osorio Budget Officer I 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Gina G. Aris Market Supervisor I 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Tomasito L. Limotao Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 3
4 - 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 6,000.00 6,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to SIX THOUSAND PESOS ONLY.
______________________________ (P 6,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE HRMO Period of Service N


U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Margarita L. Levera HRMO III 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Marylin A. Borcillo Records Officer II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Arabellaflor L. Demandante Clerk III 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Ariel L. Arenga Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 8,000.00 8,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to EIGHT THOUSAND PESOS ONLY.
______________________________ (P 8,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Oper.of Cemetery) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Anthony L. Gonzales Utility Foreman 10/01/11 10/31/11 2,000.00 2,000.00 1
2 - 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 2,000.00 2,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TWO THOUSAND PESOS ONLY.
______________________________ (P 2,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Oper.of Lambunao Garments) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Esperanza B. Layog L.R.C.O. II 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Julita V. Hibaler Bookbinder III 10/01/11 10/31/11 2,000.00 2,000.00 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 4,000.00 4,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to FOUR THOUSAND PESOS ONLY.
______________________________ (P 4,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Equipment Section) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Gerardo A. Sablon H.E.O. II 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Felixberto P. Larroza Driver II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Josue L. Villanueva Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Jonathan C. Leda Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 8,000.00 8,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to EIGHT THOUSAND PESOS ONLY.
______________________________ (P 8,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Oper.of Solid Waste) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Giovanni S. Pacifico Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Rosendo V. Cabagay Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Rolando A. Rivera Carpenter I 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Ma. Dianalyn A. Leal Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Domily D. Bolquerin Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 David D. Mucho, Jr. Cemetery Caretaker 10/01/11 10/31/11 2,000.00 2,000.00 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 12,000.00 12,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TWELVE THOUSAND PESOS ONLY.
______________________________ (P 12,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Oper. Of Laboratory Equipt.) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Nelson A. Gabata Med. Technologist I 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Nida L. Fernandez Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 4,000.00 4,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to FOUR THOUSAND PESOS ONLY.
______________________________ (P 4,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE RURAL Period of Service N


U HEALTH UNIT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E LAUNDRY ALLOW. From From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R July to September, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ma. Mercedes P. Ballarta Mun. Health Officer 07/01/11 10/31/11 450.00 450.00 1
2 Connie B. Calinao Nurse I 07/01/11 10/31/11 450.00 450.00 2
3 Cynthia C. Jaque Midwife III 07/01/11 10/31/11 450.00 450.00 3
4 Elna L. Caro Midwife II 07/01/11 10/31/11 450.00 450.00 4
5 Elna C. Latumbo Midwife II 07/01/11 10/31/11 450.00 450.00 5
6 Elena L. Lequisia Midwife II 07/01/11 10/31/11 450.00 450.00 6
7 Teresita C. Legarde Midwife II 07/01/11 10/31/11 450.00 450.00 7
8 Sonia L. Esteva Midwife II 07/01/11 10/31/11 450.00 450.00 8
9 Lornaly L. Montes Midwife II 07/01/11 10/31/11 450.00 450.00 9
10 Rosemarie T. Lechugas Midwife II 07/01/11 10/31/11 450.00 450.00 10
11 Claren P. Leal Midwife II 07/01/11 10/31/11 450.00 450.00 11
12 Mary Grace L. Lapizar Midwife II 07/01/11 10/31/11 450.00 450.00 12
13 Remegias L. Librando R.S.I. II 07/01/11 10/31/11 450.00 450.00 13
14 Ma. Grace L. Latoza R.S.I. II 07/01/11 10/31/11 450.00 450.00 14
15 Frezil B. Pacificar Midwife II 07/01/11 10/31/11 450.00 450.00 15
16 Nelson A. Gabata Medical Technologist I 07/01/11 10/31/11 450.00 450.00 16
17 Joann P. Montiar Midwife I 07/01/11 10/31/11 450.00 450.00 17
18 Jenelyn C. Lopez Midwife I 07/01/11 10/31/11 450.00 450.00 18
19 Ma. Luz L. Lizada Sanitation Inspector II 07/01/11 10/31/11 450.00 450.00 19
20 Mary Felicity L. Dideles Midwife II 07/01/11 10/31/11 450.00 450.00 20
Total Carried Forward 9,000.00 9,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MA. MERCEDES BALLARTA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to NINE THOUSAND PESOS ONLY
______________________________ (P 9,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE RURAL Period of Service N


U HEALTH UNIT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E SUBS. ALLOW. for the month From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ma. Mercedes P. Ballarta Mun. Health Officer 10/01/11 10/31/11 1,500.00 1,500.00 1
2 Connie B. Calinao Nurse I 10/01/11 10/31/11 1,500.00 1,500.00 2
3 Cynthia C. Jaque Midwife III 10/01/11 10/31/11 1,500.00 1,500.00 3
4 Elna L. Caro Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 4
5 Elna C. Latumbo Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 5
6 Elena L. Lequisia Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 6
7 Teresita C. Legarde Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 7
8 Sonia L. Esteva Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 8
9 Lornaly L. Montes Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 9
10 Rosemarie T. Lechugas Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 10
11 Claren P. Leal Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 11
12 Mary Grace L. Lapizar Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 12
13 Remegias L. Librando R.S.I. II 10/01/11 10/31/11 1,500.00 1,500.00 13
14 Ma. Grace L. Latoza R.S.I. II 10/01/11 10/31/11 1,500.00 1,500.00 14
15 Frezil B. Pacificar Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 15
16 Nelson A. Gabata Medical Technologist I 10/01/11 10/31/11 1,500.00 1,500.00 16
17 Joann P. Montiar Midwife I 10/01/11 10/31/11 1,500.00 1,500.00 17
18 Jenelyn C. Lopez Midwife I 10/01/11 10/31/11 1,500.00 1,500.00 18
19 Ma. Luz L. Lizada Sanitation Inspector II 10/01/11 10/31/11 1,500.00 1,500.00 19
20 Mary Felicity L. Dideles Midwife II 10/01/11 10/31/11 1,500.00 1,500.00 20
Total Carried Forward 30,000.00 30,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MA. MERCEDES BALLARTA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payrol
(3) Preaudited and approved for payment in the month of ____________________________ amounts to THIRTY THOUSAND PESOS ONLY.
______________________________ (P 30,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE RURAL Period of Service N


U HEALTH UNIT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E HAZARD for the month From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ma. Mercedes P. Ballarta Mun. Health Officer 10/01/11 10/31/11 4,309.69 4,309.69 1
2 Connie B. Calinao Nurse I 10/01/11 10/31/11 1,957.88 1,957.88 2
3 Cynthia C. Jaque Midwife III 10/01/11 10/31/11 2,075.25 2,075.25 3
4 Elna L. Caro Midwife II 10/01/11 10/31/11 1,975.31 1,975.31 4
5 Elna C. Latumbo Midwife II 10/01/11 10/31/11 1,847.25 1,847.25 5
6 Elena L. Lequisia Midwife II 10/01/11 10/31/11 1,802.25 1,802.25 6
7 Teresita C. Legarde Midwife II 10/01/11 10/31/11 1,758.38 1,758.38 7
8 Sonia L. Esteva Midwife II 10/01/11 10/31/11 1,758.38 1,758.38 8
9 Lornaly L. Montes Midwife II 10/01/11 10/31/11 1,758.38 1,758.38 9
10 Rosemarie T. Lechugas Midwife II 10/01/11 10/31/11 1,758.38 1,758.38 10
11 Claren P. Leal Midwife II 10/01/11 10/31/11 1,673.63 1,673.63 11
12 Mary Grace L. Lapizar Midwife II 10/01/11 10/31/11 1,632.94 1,632.94 12
13 Remegias L. Librando R.S.I. II 10/01/11 10/31/11 1,758.38 1,758.38 13
14 Ma. Grace L. Latoza R.S.I. II 10/01/11 10/31/11 1,758.38 1,758.38 14
15 Frezil B. Pacificar Midwife II 10/01/11 10/31/11 1,632.94 1,632.94 15
16 Nelson A. Gabata Med. Technologist 10/01/11 10/31/11 1,975.31 1,975.31 16
17 Joann P. Montiar Midwife I 10/01/11 10/31/11 1,461.75 1,461.75 17
18 Jenelyn C. Lopez Midwife I 10/01/11 10/31/11 1,426.13 1,426.13 18
19 Ma. Luz L. Lizada Sanitation Inspector II 10/01/11 10/31/11 1,632.94 1,632.94 19
20 Mary Felicity L. Dideles Midwife II 10/01/11 10/31/11 1,632.94 1,632.94 20
21 Nida L. Fernandez Utility Worker II 10/01/11 10/31/11 1,160.43 1,160.43 21
22 Danny L. Legarda H.E.O. I 10/01/11 10/31/11 1,316.63 1,316.63 22
Total Carried Forward 40,063.55 40,063.55
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MA. MERCEDES BALLARTA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to FORTY THOUSAND SIXTY THREE PESOS & 55/100.
______________________________ (P 40,063.55) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Maintenance of Farm to Period of Service N


U Market Road (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R February 16- 29, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Leo S. Leonida Mun. Engineer 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Leony L. Loot Draftsman III 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Rio L. Chiva Const.& Maint. Gen. Fore. 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Arnolfo L. Leysa Labor Foreman 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Rafael A. Abeto IV H.E.O. II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 Julius L. Buaron Electrician II 10/01/11 10/31/11 2,000.00 2,000.00 6
7 Elegio L. Baladhay, Jr. Zoning Inspector I 10/01/11 10/31/11 2,000.00 2,000.00 7
8 Daisy L. Lira Clerk III 10/01/11 10/31/11 2,000.00 2,000.00 8
9 Robeto G. Parcon H.E.O. II 10/01/11 10/31/11 2,000.00 2,000.00 9
10 Danny L. Legarda H.E.O. I 10/01/11 10/31/11 2,000.00 2,000.00 10
11 Vicente L. Montiar Driver II 10/01/11 10/31/11 2,000.00 2,000.00 11
12 Rosanna P. Lucero Clerk II 10/01/11 10/31/11 2,000.00 2,000.00 12
13 Ma. Nieva Lourdes L. Sablon Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 13
14 Dina B. Labordo Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 14
15 Ian L. Serafica Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 15
16 - 16
17 - 17
18 18
19 19
20 20
Total Carried Forward 30,000.00 30,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to THIRTY THOUSAND PESOS ONLY.
______________________________ (P 30,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MA.ARLENE P. LAVILLA OIC-Mun. Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Sangguniang Bayan Office Period of Service N


U (Inclusive Dates) Amount Amount U
M Daily Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Pag-ibig Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Premium Share Personal Gov't Insurance tions (CR. A-1) E
R November 1 - 15, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Felecisimo Leprozo Info. Officer 11/1/12 11/15/12 250.00 3,000.00 3,000.00 1
2 Roderick Losbañes Casual Clerk 11/1/12 11/15/12 225.00 2,700.00 2,700.00 2
3 Ernie Casaquite Driver 11/1/12 11/15/12 250.00 3,500.00 100.00 3,400.00 3
4 Jojie Leyble Filing Clerk 11/1/12 11/15/12 250.00 2,250.00 100.00 2,150.00 4
5 Joel Bangeles Messenger 11/1/12 11/15/12 225.00 2,700.00 2,700.00 5
6 xxxxxxxxxxxxxx - 6
7 - 7
8 - 8
9 - 9
10 - 10
11 11
12 - 12
13 - 13
14 - 14
15 - 15
16 - 16
17 - 17
18 18
19 19
20 20
Total Carried Forward 14,150.00 200.00 13,950.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MYRNA L. SORIANOSOS (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MA. ARLENE P. LAVILLA
CESAR L. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to THIRTY THOUSAND PESOS ONLY.
______________________________ (P 30,000.00) pesos only.
(P____________) pesos only.
MA. ARLENE P. LAVILLA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

LAVILLA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Period of Service N
U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
p NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R January-December, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Jeric Albao Helper January December 1,500.00 1,500.00 1
2 Jose Neri Aligante HEO January December 3,000.00 3,000.00 2
3 Benjo Alonday Driver January December 3,000.00 3,000.00 3
4 Restituto Arceta Electrician January December 3,000.00 3,000.00 4
5 Alfredo Bactol Sr. Tinsman/welder January December 1,500.00 1,500.00 5
6 Arnel Bactol Welder January December 1,500.00 1,500.00 6
7 Marvin Jay Camacho Driver January December 3,000.00 3,000.00 7
8 Vicente Jalbuena Driver January December 3,000.00 3,000.00 8
9 Ma.Sharon Labordo Casual Clerk January December 3,000.00 3,000.00 9
10 Rio Lares Driver January December 2,000.00 2,000.00 10
11 John Legarde Driver January December 3,000.00 3,000.00 11
12 Renejoe Lisao Driver January December 2,000.00 2,000.00 12
13 Renato Loberiza Driver January December 2,000.00 2,000.00 13
14 Alfredo Magbanua Driver January December 3,000.00 3,000.00 14
15 Pedro Magbanua Driver January December 3,000.00 3,000.00 15
16 Stephen Lee Mandadero C.E. Aide January December 3,000.00 3,000.00 16
17 Edwin Pacifico Electrician/Helper January December 3,000.00 3,000.00 17
18 Jose Rene Pilla PIC January December 3,000.00 3,000.00 18
19 Rolando Suarnaba Driver January December 3,000.00 3,000.00 19
20 Glemuel Untalan HEO January December 3,000.00 3,000.00 20
Total Carried Forward 52,500.00 52,500.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TWENTY FOUR THOUSAND PESOS ONLY.
______________________________ (P 24,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from REY LEGARIO OIC - Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Period of Service N
U (Inclusive Dates) Amount Amount U
M Daily Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Optional Deduc- Due in Cash B Signature/Cedula Number
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Insurance tions (CR. A-1) E
Cedula Number
R July 1-15, 2017 Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 16 17 18 19 20 21
1 Efren Mark Nobela Job-Hire July 1, 2017 July 15,2017 500.00 5,000.00 29654259 5,000.00 1
2 Keven Laruscain Job-Hire April 16, 2017 April 30,2018 300.00 29653622 - 2
3 Frezel Jade Lebrilla Job-Hire April 16, 2017 April 30,2019 300.00 - 3
5 5
6 - 6
7 - 7
8 - 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 Total Carried Forward 20

(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that 5,000.00 5,000.00
10,000.00
services above stated have been duly rendered. Payment for such services is also hereby ap- (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
proved from the appropriation indicated. ployee whose name appears on the above roll the amount set opposite his name, under column
21, the having signed or marked his name under column 24 above, in my presence and at the
time the payment was made to him in acknowledgement of receipt of the money paid him.

, 2007
(2) APPROVED for payment subject to preaudit: ___________________________________ DANILO LOBERIZA (Signature)
GSO , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
(3) Preaudited and approved for payment in the month of ____________________________ column 21 above, opposite his name. The total of tge payments made by means this payroll
amounts to __________________
______________________________ (P ___________) pesos only.
(P____________) pesos only.

, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Maintenance of DAR-ADB Period of Service N


U Projects (Inclusive Dates) Amount Amount U
M Daily Accrued Absences With MEDICARE LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Pag-ibig Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Premium Share Personal Gov't Insurance tions (CR. A-1) E
R November 1 - 15, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Rio Lares Driver 11/1/12 11/15/12 225.00 2,700.00 100.00 2,600.00 1
2 Stephen Lee Mandadero C.E. Aide 11/1/12 11/15/12 225.00 2,925.00 100.00 2,825.00 2
3 Glemuel Untalan H.E.O. 11/1/12 11/15/12 275.00 3,025.00 100.00 2,925.00 3
4 Robert Libo-on Driver 11/1/12 11/15/12 225.00 2,025.00 2,025.00 4
5 John Legarde Driver 11/1/12 11/15/12 225.00 3,150.00 100.00 3,050.00 5
6 Pedro Magbanua Driver 11/1/12 11/15/12 275.00 3,025.00 100.00 2,925.00 6
7 Rolando Suarnaba Driver 11/1/12 11/15/12 275.00 3,025.00 100.00 2,925.00 7
8 Alfredo Magbanua Driver 11/1/12 11/15/12 275.00 3,025.00 100.00 2,925.00 8
9 Ma. Sharon Labordo Casual Clerk 11/1/12 11/15/12 200.00 2,200.00 100.00 2,100.00 9
10 xxxxxxxxxxxxxxxxxxx 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 25,100.00 800.00 24,300.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MA. ARLENE P. LAVILLA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TEN THOUSAND PESOS ONLY.
______________________________ (P 10,000.00) pesos only.
(P____________) pesos only.
MA. ARLENE P. LAVILLA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Maintenance of Farm to Period of Service N


U Market Road (Inclusive Dates) Amount Amount U
M Daily Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Pag-ibig Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Premium Share Personal Gov't Insurance tions (CR. A-1) E
R April 16 - 30, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Rio Lares Driver 4/16/12 4/30/12 225.00 3,375.00 100.00 3,275.00 1
2 Alfredo Magbanua Driver 4/16/12 4/30/12 275.00 3,575.00 100.00 3,475.00 2
3 Pedro Magbanua Driver 4/16/12 4/30/12 275.00 4,125.00 100.00 4,025.00 3
4 Rolando Suarnaba Driver 4/16/12 4/30/12 275.00 3,850.00 100.00 3,750.00 4
5 Glemuel Untalan Driver 4/16/12 4/30/12 275.00 4,125.00 100.00 4,025.00 5
6 Stephen Lee Mandadero C.E. Aide 4/16/12 4/30/12 225.00 3,375.00 100.00 3,275.00 6
7 Marvin Jay Camacho Driver 4/16/12 4/30/12 225.00 3,375.00 100.00 3,275.00 7
8 Artemio Limotao Helper 4/16/12 4/30/12 150.00 1,950.00 100.00 1,850.00 8
9 Renejoe Lisao Driver 4/16/12 4/30/12 225.00 3,375.00 3,375.00 9
10 Vicente Jalbuena Driver 4/16/12 4/30/12 225.00 2,925.00 100.00 2,825.00 10
11 John Legarde Driver 4/16/12 4/30/12 225.00 3,375.00 100.00 3,275.00 11
12 Benjo Alonday Driver 4/16/12 4/30/12 225.00 2,925.00 100.00 2,825.00 12
13 Edwin Pacifico Helper 4/16/12 4/30/12 200.00 2,600.00 100.00 2,500.00 13
14 Ruben Sincer H.E.O. 4/16/12 4/30/12 275.00 3,300.00 3,300.00 14
15 Robert Libo-on Driver 4/16/12 4/30/12 225.00 2,925.00 2,925.00 15
16 Jose Neri Aligante Backhoe Operator 4/16/12 4/30/12 275.00 3,575.00 3,575.00 16
17 Aldrin Sapilan Driver 4/16/12 4/30/12 225.00 2,925.00 2,925.00 17
18 Ma.Sharon Labordo Casual Clerk 4/16/12 4/30/12 200.00 2,400.00 100.00 2,300.00 18
19 xxxxxxxxxxxxxxxxxx 19
20 20
Total Carried Forward 58,075.00 1,300.00 56,775.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TEN THOUSAND PESOS ONLY.
______________________________ (P 10,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Maintenance of FMR Period of Service N


U Projects (Inclusive Dates) Amount Amount U
M Daily Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Pag-ibig Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Premium Share Personal Gov't Insurance tions (CR. A-1) E
R August 1 - 31, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Paul Vincent Leda Driver 8/1/12 8/31/12 200.00 6,200.00 6,200.00 1
2 xxxxxxxxxxxxxxxxxx 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 - 8
9 9
10 - 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 6,200.00 6,200.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MA. ARLENE P. LAVILLA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to
______________________________ (P___________________) pesos Only.
(P____________) pesos only.
MA. ARLENE P. LAVILLA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MA. ARLENE P. LAVILLA OIC-Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N Period of Service N
U (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R August 1 - 31, 2012 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Caretaker/Radio 8/1/12 8/31/12
1 Felix Lozada 1,000.00 1,000.00 1,000.00 1
Com.Repeater
2 xxxxxxxxxxxxxxxxx Com.Repeater - 2
3 - 3
4 - 4
5 - 5
6 - 6
7 - 7
8 - 8
9 - 9
10 - 10
11 - 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 1,000.00 1,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
LEONY L. LOOT (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MA. ARLENE P. LAVILLA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to EIGHT THOUSAND PESOS ONLY.
______________________________ (P 8,000.00) pesos only.
(P____________) pesos only.
MA. ARLENE P. LAVILLA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Operation of the Market) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Gina A. Aris Market Supervisor I 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Arturo G. Lelis Watchman II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Agripino S. Pacifico Watchman II 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Ma. Judith F. Alayu Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Ma. Dianalyn A. Leal Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 Larry A. Campaña Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 6
7 Angela T. Legayada Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 7
8 Domily D. Bolquiren Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 8
9 Dina D. Labordo Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 9
10 Prescilla L. Legario Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 10
11 Helen S. Ronco Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 11
12 Gina L.Layog Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 12
13 Josue L. Villanueva Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 13
14 Ma. Mimfa June L. Doncillo Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 14
15 15
16 - 16
17 17
18 18
19 19
20 20
Total Carried Forward 28,000.00 28,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TWENTY EIGHT THOUSAND PESOS ONLY.
______________________________ (P 28,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

ONDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE RURAL Period of Service N


U HEALTH UNIT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ma. Mercedes P. Ballarta Mun. Health Officer 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Connie B. Calinao Nurse I 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Cynthia C. Jaque Midwife III 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Elna L. Caro Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Elna C. Latumbo Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 Elena L. Lequisia Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 6
7 Teresita C. Legarde Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 7
8 Sonia L. Esteva Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 8
9 Lornaly L. Montes Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 9
10 Rosemarie T. Lechugas Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 10
11 Claren P. Leal Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 11
12 Mary Grace L. Lapizar Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 12
13 Remegias L. Librando R.S.I. II 10/01/11 10/31/11 2,000.00 2,000.00 13
14 Ma. Grace L. Latoza R.S.I. II 10/01/11 10/31/11 2,000.00 2,000.00 14
15 Frezil B. Pacificar Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 15
16 Joann P. Montiar Midwife I 10/01/11 10/31/11 2,000.00 2,000.00 16
17 Jenelyn C. Lopez Midwife I 10/01/11 10/31/11 2,000.00 2,000.00 17
18 Ma.Luz L.Lizada Sanitation Inspector II 10/01/11 10/31/11 2,000.00 2,000.00 18
19 Mary Felicity L. Dideles Midwife II 10/01/11 10/31/11 2,000.00 2,000.00 19
20 - 20
Total Carried Forward 38,000.00 38,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MA. MERCEDES BALLARTA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to THIRTY EIGHT THOUSAND PESOS ONLY
______________________________ (P 38,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MUNICIPAL Period of Service N


U TREASURER (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
P NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Manuela V. Pondevida Municipal Treasurer 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Danilo C. Loberiza Cashier III 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Evelyn E. Leysa L.R.C.O. II 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Normagen C. Lopez L.R.C.O. II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Rey B. Legario L.R.C.O. II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 Lerna O. Libuna Rev. Coll. Clerk II 10/01/11 10/31/11 2,000.00 2,000.00 6
7 Luzil L. Villa Budgeting Assistant 10/01/11 10/31/11 2,000.00 2,000.00 7
8 Mary Mae B. Besar Clerk IV 10/01/11 10/31/11 2,000.00 2,000.00 8
9 Ernesto L. Lozarita Bookbinder III 10/01/11 10/31/11 2,000.00 2,000.00 9
10 Melgine L. Layawon Clerk III 10/01/11 10/31/11 2,000.00 2,000.00 10
11 Larry A. Campaña Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 11
12 Helen S. Ronco Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 12
13 Rexie G. Casolino Utility Worker I 10/01/11 10/31/11 2,000.00 2,000.00 13
14 - 14
15 - 15
16 - 16
17 - 17
18 - 18
19 - 19
20 20
Total Carried Forward 26,000.00 26,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
MANUELA V. PONDEVIDA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TWENTY SIX THOUSAND PESOS ONLY
______________________________ (P 26,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MUNICIPAL Period of Service N


U ACCOUNTANT (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Sofia G. Halago Mun. Accountant 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Aida L. Lorilla Accountant III 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Eden C. Sebastian Financial Analyst II 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Resani L. Artillo Financial Analyst II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Edna S. Pedregosa Acctg. Clerk II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 Analyn S. Lobia Bookbinder III 10/01/11 10/31/11 2,000.00 2,000.00 6
7 Gina L. Layog Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 7
8 - 8
9 - 9
10 - 10
11 - 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 14,000.00 14,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
SOFIA G. HALAGO (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to FOURTEEN THOUSAND PESOS ONLY.
______________________________ (P 14,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
gnature of Payee

NDEVIDA
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MAYOR Period of Service N


U (Operation of the Econ. Enterprise) (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Ernesto L. Legayada IV Meat Inspector II 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Edgardo L. Pestaño Asst. Statistician 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Mary Michel B. Lebuna Bookbinder III 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Leo L. Latañafrancia Clerk III 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Agripino S. Pacifico Watchman II 10/01/11 10/31/11 2,000.00 2,000.00 5
6 Ma. Mimfa June L. Doncillo Utility Worker II 10/01/11 10/31/11 2,000.00 2,000.00 6
7 Gemma L. Nobleza Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 7
8 Ferdinand B. Edral Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 8
9 Ariel C. Manajero Admin. Aide III 10/01/11 10/31/11 2,000.00 2,000.00 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 18,000.00 18,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
REYNOR R. GONZALES (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to __EIGHTEEN THOUSAND PESOS ONLY.
______________________________ (P_18,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MUN. Period of Service N


U PLNG. & DEV'T COOR. (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Febe L. Tiongson MPDC 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Ma. Docilyn L. Leagrio Planning Ofcr. II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Elsie S. Sumaylo Economist II 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Josie L. Lacuesta Laborer II 10/01/11 10/31/11 2,000.00 2,000.00 4
5 - 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 8,000.00 8,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
FEBE L. TIONGSON (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to EIGHT THOUSAND PESOS ONLY.
______________________________ (P 8,000.00) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer
Provincial Form No. 38 (A)
Municipality of Lambunao, Iloilo Revised March, 1973
We hereby acknowledge to have received from MANUELA v. PONDEVIDA Treasurer of the Municipality of Lambunao, Iloilo; the sums herein specified opposite our respective names, the same being full
compensation for our services rendered during the period stated below, to the correctness of which we hereby severally certify.

N OFFICE OF THE MUNICIPAL Period of Service N


U CIVIL REGISTRAR (Inclusive Dates) Amount Amount U
M Monthly Accrued Absences With M E D I C A R E LIFE/RETIREMENT Other Amount Paid M
B NAME DESIGNATION Rate of for the w/o holding Salary Policy Personal Gov't Insurance Premium Optional Deduc- Due in Cash B Signature of Payee
E PERA for the month of From … To… Pay Period Pay Tax Loan Loan Share Share Personal Gov't Insurance tions (CR. A-1) E
R OCTOBER, 2011 Share Share Premium R
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 Heide Q. Loria Mun. Civil Registrar 10/01/11 10/31/11 2,000.00 2,000.00 1
2 Lilibeth L. Lucero Reg. Officer II 10/01/11 10/31/11 2,000.00 2,000.00 2
3 Mercedita L. Lerado Bookbinder III 10/01/11 10/31/11 2,000.00 2,000.00 3
4 Evangeline L. Barrios Bookbinder III 10/01/11 10/31/11 2,000.00 2,000.00 4
5 Myrna S. Balano Clerk III 10/01/11 10/31/11 2,000.00 2,000.00 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Total Carried Forward 10,000.00 10,000.00
(1) I HEREBY CERTIFY on my official oath that the above PAYROLL is correct, and that (5) I HEREBY CERTIFY on my official oath that I have paid in cash to each Official & em-
services above stated have been duly rendered. Payment for such services is also hereby ap- ployee whose name appears on the above roll the amount set opposite his name, under column
proved from the appropriation indicated. 21, the having signed or marked his name under column 24 above, in my presence and at the
HEIDE Q. LORIA (4) APPROVED: time the payment was made to him in acknowledgement of receipt of the money paid him.
(Signature)
, 2007 MANUELA V. PONDEVIDA
REYNOR R. GONZALES (Signature)
(2) APPROVED for payment subject to preaudit: ___________________________________ Chief of Office , 2007________________________________________
(6) I HEREBY CERTIFY on my official oath that each employee whose name appears on
, 20 _________________ Treasurer the above roll has been paid in cash or in check and in no other mode, the amount shown under
column 21 above, opposite his name. The total of tge payments made by means this payroll
(3) Preaudited and approved for payment in the month of ____________________________ amounts to TEN THOUSAND PESOS ONLY.
______________________________ (P_10,000.00_) pesos only.
(P____________) pesos only.
MANUELA V. PONDEVIDA
, 20 _________________________ (Signature)
Provincial Auditor _____________________________, 20___________________ Treasurer