TIME BOOK AND PAYROLL

For labor on: _________________________________________ at VILLANUEVA ELEMENTARY SCHOOL, Villanueva, San Manuel ,Isabela Phil. For period of ______________ - _______________2014.
(State job or project on which labor was performed)

TIME ROLL
NAME

ber

Occupation

1
16

2
17

3
18

4
19

(Make time each day under proper date

using fraction when necessary
5
6
7
8
9 10 11 12 13 14
20 21 22 23 24 25 26 27 28 29

15
30

No. of
days
work
31
ed

Rate
per
day

Amount Paid

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

stated.

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
Timekeeper

DIVINE GRACE B. SAMORTIN

Principal II

2011 paid in cash to each man whose name appears on the above roll, t

ROMALYN P. PAGALA
School Teasurer

MARCH 12 2011

Signature/

Amount

to

MARCH 12 2011

RESIDENCE CERTIFICATE
Signature or
Place of
Number
Date
Thumbmark/s
Issue

Thumbmark

____

ve roll, the

tablished

rovided

Signature
of
Witness

San Manuel,
00280597 3/15/2011
Isabela
San Manuel,
00280598 3/15/2011
Isabela
San Manuel,
00280599 3/15/2011
Isabela

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
amount set opposite his name, he having prescribeb himself,established
his identity, and affix his signatue or thumbmark on the spaceprovided

OR

DOLORES C. SOLDEVILLA
SPECIAL DISBURSING OFFICER, PAYMASTER/ MUNICIPAL TREASURER