Republic of the Philippines

SOCIAL SECURITY SYSTEM

http://www.sss.gov.ph

THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

ILAGAN, GOLDWIN ARANAS Reference Number: V0119026134073

Amount Due: P990.00
SS Number: 04-0978961-8

Payor Type: Voluntary Generation Date: January 04, 2019

STATEMENT OF ACCOUNT

APPLICABLE PERIOD INDIVIDUAL PAYMENT REFERENCE AMOUNT

NUMBER
Oct 2018 to Dec 2018 V0119026134073 P990.00

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

ILAGAN, GOLDWIN ARANAS Total Amount Paid

SS Number: 04-0978961-8 P ______________________
Cash ( ) Cheque ( ) Cheque No. ________________
Bank/Branch _______________
Bank Teller ________________