TIME BOOK AND PAYROLLFor labor on: _________________________________________ at VILLANUEVA ELEMENTARY SCHOOL, Villanueva, San Manuel ,Isabela Phil. For period of ______________ - _______________2014.

(State job or project on which labor was performed)

NAME OccupationTIME ROLL (Make time each day under proper date No. of

Rate

Amount Paid

using fraction when necessary days1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 work per

16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ed day

1

2

3

4

5

6

TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I HEREBY CERTIFY that its person whose name appears I CERTIFY that this roll is correct, every person whose nam I CERTIFY on my official oath rhat I have this____ day of_______on this roll rendered service as indicated and for the time appears thereon rendered service or the time and at the rates 2011 paid in cash to each man whose name appears on the above roll, thestated. stated under my general supervision and I approve payment of amount set opposite his name, he having prescribeb himself,established

this roll. his identity, and affix his signatue or thumbmark on the spaceprovided

RAQUEL G. IBE DIVINE GRACE B. SAMORTIN ROMALYN P. PAGALA Timekeeper Principal II School Teasurer

m ber

MARCH 12 2011 to MARCH 12 2011

RESIDENCE CERTIFICATESignature orNumber Date Place of Signature

Signature/ Amount Thumbmark/s Issue ofThumbmark Witness

00280597 3/15/2011San Manuel,Isabela

00280598 3/15/2011San Manuel,Isabela

00280599 3/15/2011San Manuel,Isabela

I CERTIFY on my official oath rhat I have this____ day of_______ I CERTIFY on my official oath rhat I have this____ day of_______2011 paid in cash to each man whose name appears on the above roll, the 2011 paid in cash to each man whose name appears on the above roll, the amount set opposite his name, he having prescribeb himself,established amount set opposite his name, he having prescribeb himself,established his identity, and affix his signatue or thumbmark on the spaceprovided his identity, and affix his signatue or thumbmark on the spaceprovided

OR DOLORES C. SOLDEVILLASPECIAL DISBURSING OFFICER, PAYMASTER/ MUNICIPAL TREASURER

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