Anda di halaman 1dari 1

June 17, 2016

CERTIFICATE OF PHILHEALTH CONTRIBUTION

NAME : Cortado, Bjern N.


Philhealth / SSS : 17-050382683-9

MONTH EMPLOYER SHARE EMPLOYEE SHARE ME-5 # DATE PAID

April 2016 P 162.50 162.50 311023859 5/11/2016


May 175.00 175.00 312227296 6/10/2016
June 175.00 175.00 312230366 7/11/2016
July 162.50 162.50 312230482 8/10/2016
August 137.50 137.50 312230631 9/9/2016
September 162.50 162.50 312321863 10/19/2016
October 150.00 150.00 312322001 11/17/2016
November 150.00 150.00 312322154 12/19/2016
December 125.00 125.00 314261341 1/17/2017
January 2017 P 150.00 150.00 314261470 2/17/2017

This is being issued in compliance with the hospital requirement.

Certified by:

Donald D. Agumbay
Sr. Project Engineer

PEN: 20-0474-3-09969

Anda mungkin juga menyukai