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Republic of the Philippines

SOCIAL SECURITY SYSTEM


http://www.sss.gov.ph

THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

DELA CRUZ, LUCHE OMPOC Reference Number: V0519041616765


Amount Due: P540.00
SS Number: 08-1353500-5 Due Date: July 31, 2019
Payor Type: Voluntary Generation Date: May 04, 2019

STATEMENT OF ACCOUNT

APPLICABLE PERIOD INDIVIDUAL PAYMENT REFERENCE AMOUNT


NUMBER
Jun 2019 to Jun 2019 V0519041616765 P540.00

Please pay on or before the due date at any SSS accredited collecting partner/bank or SSS Office with tellering Facility.

For inquiries, email us at PRNHelpline@sss.gov.ph

This is a system-generated statement, signature is not needed.

Republic of the Philippines

SOCIAL SECURITY
SYSTEM
http://www.sss.gov.ph

Payment Slip

DELA CRUZ, LUCHE OMPOC Total Amount Paid


SS Number: 08-1353500-5 P ______________________
Cash ( ) Cheque ( ) Cheque No. ________________
Bank/Branch _______________
Bank Teller ________________

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