Provincial Government of Albay

Albay Capitol, Albay District, Legazpi City

LABOR PAYROLL
For the period______________________________
_____________PAS-Soils Laboratory_________________
(STATE PROJECT ON WHICH LABOR WAS PERFORMED)
Deducti ons
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
TOTAL
AMOUNT I N WORDS
Roni e E. Toni za
TI ME ROLL
Legend: / Hal f-day X Whol e day No. Name
Chona B. Rosi n
(Mark ti me under proper date usi ng fracti on on whi ch necessary).
Amount
Pai d
Si gnature Document
No. of
Days
Worked
Rate per
Day
Total HDMF
Premi um
Amount Due No.

CERTIFIED: APPROVED FOR PAYMENT CERTIFIED:
Each person whose name appears on this rolls Each person whose name appears on the above roll has been paid
has rendered services for the period stated. the amount stated opposite his/her name after identifying him/her.



JOEY SARTE SALCEDA
Governor

_____________Joame A. Olavario________________ ________________________________________________
Name & Signature of Supervisor Name & Signature of Disbursing Officer


JOB ORDER ACCOMPLISHMENT REPORT
Period Covered:_________________________________________

PROGRAM/PROJECT ________________________________________PAS- Soils Laboratory_________________________________________________

Submitted hereunder is our Accomplishment Report for the above stated period and project. By affixing our signatures herein, we hereby certify to its truthfulness and
correctness.

Name Designation Accomplishment/Activities Signature
Chona B. Rosin
Ronie E. Toniza






Concurred:

____________________________________
Name & Signature of Supervisor