Professional Documents
Culture Documents
Stoppage-Deduction Form
Stoppage-Deduction Form
Stoppage-Deduction Form
I hereby authorized your good office to please STOP / DEDUCT the following effective as indicated hereunder: S T O P
CODE 142A 142A 1068 DESCRIPTION POLICY NO.
EFFECTIVITY DATE TERMINATION DATE
FORTUNE LIFE INS. CO. AUG. 2012 NOV. 2027 FORTUNE LIFE INS. CO. SEPT. 2012 NOV. 2027 PR BANK FEB. 2011 DEC. 2013 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
DEDUCT
CODE 1068 DESCRIPTION POLICY NO.
EFFECTIVITY DATE TERMINATION DATE
AMOUNT 8,781.39
JAN. 2017
Attached herewith is my payslip/supporting document (s). Hoping for your favorable action.
Very Truly Yours, PRINTED NAME WITH SIGNATURE: DIVISION/STATION: EMPLOYEE NO.: MA. CECILIA J. CELESTINO 228 / 022 5314348