BISHOP JOSEPH REGAN POLYCLINIC STATEMENT OF EARNINGS
CHRIST THE KING ROAD, MAG-UGPO EAST, TAGUM CITY
DAVAO DEL NORTE 8100 Payroll Period: NOV 28- DEC 12 2022
POSITION: CHIEF MEDICAL TECHNOLOGIST
ID No. :100 STATUS: REGULAR EMPLOYEE AREA: BJRP-LAB
NAME ADJILANI, FRITZIE DARA BASIC RATE DAILY 550.00
ADDRESS TOTAL NUMBER
: DAVAO CITY 13
OF DAYS
EARNINGS DEDUCTIONS
BASIC SALARY 7,150.00 SSS
REGULAR HOLIDAY 770.00
13th Month Salary 8,595.00 PHIC
COLA 715.00 HDMF
MEDTECH ALLOWANCE 1,430.00 TAX
HAZARD PAY 715.00
SPECIAL HOLIDAY 231.00 Min. Deduction
REIMBURSEMENT CAR LOAN
CASH ADVANCE LATE -
SPECIAL REQUEST
EXTENDED HOURS:
TOTAL EARNINGS 19,606.00
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 19,606.00
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 19,606.00 RECEIVED BY: ADJILANI, FRITZIE DARA
BISHOP JOSEPH REGAN POLYCLINIC STATEMENT OF EARNINGS
CHRIST THE KING ROAD, MAG-UGPO EAST, TAGUM CITY
DAVAO DEL NORTE 8100 Payroll Period: NOV 28- DEC 12 2022
POSITION: MEDICAL TECHNOLOGIST
ID No. :101 STATUS: REGULAR EMPLOYEE AREA: BJRP-LAB
NAME BUNO, RORENE BASIC RATE DAILY 500.00
ADDRESS TOTAL NUMBER
VILLA CACACHO, TAGUM CITY 8
OF DAYS
EARNINGS DEDUCTIONS
BASIC SALARY 4,000.00 SSS
REGULAR HOLIDAY
13th Month Salary 6,987.50 PHIC
COLA 400.00 HDMF
MEDTECH ALLOWANCE 800.00 TAX
SPECIAL HOLIDAY 195.00
Min. Deduction
REIMBURSEMENT CAR LOAN
CASH ADVANCE LATE -
SPECIAL REQUEST
EXTENDED HOURS:
TOTAL EARNINGS 12,382.50
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 12,382.50
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 12,382.50 RECEIVED BY: BUNO, RORENE
BISHOP JOSEPH REGAN POLYCLINIC STATEMENT OF EARNINGS
CHRIST THE KING ROAD, MAG-UGPO EAST, TAGUM CITY
DAVAO DEL NORTE 8100 Payroll Period: DEC 1 - DEC 15, 2022
POSITION: CASHIER
ID No. :104 STATUS: BJRMH EMPLOYEE AREA: BJRP LAB
ALLOWANCE
NAME ALBURO, EVALYN A. 80.00
RATE/HOUR
ADDRESS TOTAL NUMBER
TAGUM CITY 13
OF HOURS
EARNINGS DEDUCTIONS
BASIC PAY 1,040.00 SSS
REG. OT PAY 48.00 PHIC
REGULAR HOLIDAY 80.00 HDMF
13th Month Salary 1,026.67 TAX
SPECIAL HOLIDAY 24.00
REIMBURSEMENT EXCESS PAY
CASH ADVANCE LATE
SPEACIAL REQUEST CASH ADVANCE
TOTAL EARNINGS 2,218.67
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 2,218.67
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 2,218.67 RECEIVED BY: ALBURO, EVALYN A.
BISHOP JOSEPH REGAN POLYCLINIC STATEMENT OF EARNINGS
CHRIST THE KING ROAD, MAG-UGPO EAST, TAGUM CITY
DAVAO DEL NORTE 8100 Payroll Period: NOV 28- DEC 12 2022
POSITION: MEDICAL TECHNOLOGIST
ID No. :103 AREA: BJRP LAB
NAME MANUEL, MARY ANNE BASIC RATE DAILY 500.00
ADDRESS TOTAL NUMBER
SAN MIGUEL, TAGUM CITY 9
OF DAYS
EARNINGS DEDUCTIONS
BASIC SALARY 4,500.00 SSS
REGULAR HOLIDAY 650.00 PHIC
13th Month Salary 5,958.33 HDMF
COLA 450.00 TAX
MEDTECH ALLOWANCE 900.00
SPECIAL HOLIDAY Min. Deduction
REIMBURSEMENT CAR LOAN
BONUS LATE -
SPEACIAL REQUEST
EXTENDED DUTY :
TOTAL EARNINGS 12,458.33
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 12,458.33
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 12,458.33 RECEIVED BY: MANUEL, MARY ANNE
BISHOP JOSEPH REGAN POLYCLINIC STATEMENT OF EARNINGS
CHRIST THE KING ROAD, MAG-UGPO EAST, TAGUM CITY
DAVAO DEL NORTE 8100 Payroll Period: NOV 28- DEC 12 2022
POSITION: MEDICAL TECHNOLOGIST
ID No. :105 STATUS: RELIEVER AREA: BJRP LAB
NAME MALIZA, JEMIMAH RUTH BASIC RATE DAILY 450.00
ADDRESS TOTAL NUMBER
VISAYAN VILLAGE, TAGUM CITY 4
OF DAYS
EARNINGS DEDUCTIONS
BASIC SALARY 1,800.00 SSS
REGULAR HOLIDAY PHIC
13th Month Salary 708.33 HDMF
COLA 200.00 TAX
EXTENDED DUTY -
SPECIAL HOLIDAY 150.00 Min. Deduction
REIMBURSEMENT CAR LOAN
BONUS LATE -
SPEACIAL REQUEST
EXTENDED DUTY :
TOTAL EARNINGS 2,858.33
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 2,858.33
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 2,858.33 RECEIVED BY: MALIZA, JEMIMAH RUTH
STATEMENT OF EARNINGS
BISHOP REGAN POLYCLINIC LABORATORY
POSITION: MEDICAL TECHNOLOGIST
ID No. :110 STATUS: RELIEVER AREA: BJRP LAB
NAME FETALVER, DEBBIE BASIC RATE DAILY 550.00
ADDRESS VISAYAN VILLAGE, TAGUM CITY TOTAL NUMBER
OF DAYS
EARNINGS DEDUCTIONS
BASIC SALARY SSS
REGULAR HOLIDAY PHIC
13th Month Salary 1,495.00 HDMF
COLA TAX
EXTENDED DUTY
SPECIAL HOLIDAY Min. Deduction
REIMBURSEMENT CAR LOAN
BONUS LATE -
SPEACIAL REQUEST
EXTENDED DUTY :
TOTAL EARNINGS 1,495.00
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 1,495.00
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 1,495.00 RECEIVED BY: FETALVER, DEBBIE
BISHOP REGAN POLYCLINIC LABORATORY
POSITION: MEDICAL TECHNOLOGIST
ID No. :110 STATUS: RELIEVER AREA: BJRP LAB
NAME DE ERIO, MARIBEL BASIC RATE DAILY 500.00
ADDRESS TOTAL NUMBER
JETT VILLAGE, TAGUM CITY
OF DAYS
EARNINGS DEDUCTIONS
BASIC SALARY SSS
REGULAR HOLIDAY PHIC
13th Month Salary 270.83 HDMF
COLA TAX
EXTENDED DUTY
SPECIAL HOLIDAY Min. Deduction
REIMBURSEMENT CAR LOAN
BONUS LATE -
SPEACIAL REQUEST
EXTENDED DUTY :
TOTAL EARNINGS 270.83
TOTAL DEDUCTIONS - CERTIFIED CORRECT: POBAR, REYMAR JAY
TAKE HOME PAY 270.83
APPROVED BY:
REIMBURSEMENT -
GRAND TOTAL 270.83 RECEIVED BY: DE ERIO, MARIBEL
PAYROLL SUMMARY (BISHOP JOSEPH REGAN POLYCLINIC - LABORATORY)
NAME POSITION SALARY REMARKS
DOMINGO, ALEJANDRO JR. Pathologist 10,000.00
ADJILANI, FRITZIE DARA Chief Medical Tech 19,606.00
BUNO, RORENE Medical Technologist 12,382.50
MANUEL, MARY ANNE Medical Technologist 12,458.33
MALIZA, JEMIMAH RUTH Medical Technologist 2,858.33
ALBURO, EVALYN A. Cashier 2,218.67
FETALVER, DEBBIE Medical Technologist 1,495.00
DE ERIO, MARIBEL Medical Technologist 270.83
GRAND TOTAL >>> 61,289.66
Cashier .
Salaries and Wages 1,495.00
Total of EE Share/Quarter
ion Total of ER Share/Quarter
GRAND TOTAL 61,289.66
Prepared By:
Pobar, Reymar Jay 12/12/2022
Laboratory Manager Date
Checked By:
Cabonce, Daisy 12/12/2022
Payroll Specialist Date
Briones, Glory Jane 12/12/2022
Budget & Finance Officer Date
RECEIVABLE AMOUNT
51,289.66
Received By: Signature
Approved By:
MANUELITO G. CAPOY, MD, DPBO
President / Administrator
ion
ion
ion
ion
BREAKDOWN OF SSS,PHIC & HDMF Benefits
ER
SSS PHIC HDMF
Total/ Total/
Monthly Total/ Quarter Monthly Monthly Total ER Share/ Quarter
Quarter Quarter
Debbie 1,031.30 3,093.90 100.00 300.00 100.00 300.00 3,693.90
Bel 957.70 2,873.10 100.00 300.00 100.00 300.00 3,473.10
Total 7,167.00
