DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL

# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan

Tel # 075-568-5563 / 075 -656-2103

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

NO. OF TOTAL NIGHT SIGNATURE

NAME OF RATE DIFFERENTIAL HOLIDAY PAYS O.T DEDUCTIONS TOTAL
DUTIES REGULAR
EMPLOYEE WAGE

PHARMACY
8-4 4-12 12-8 AMOUNT SSS PHIL PAG- C.A. LATE/ WITH/
HEA IBIG UNDER TAX
LTH TIME
MENDOZA, 520.40 12 6244.80 12 0 0 750 200 100 260.2 6434.60
MA.SOCORRO R.
0

PHARMACY AIDE

OLIVEROS, 379.14 11 4170.54 0 7 4 985.7 150 100 5036.39

MARY JANE R.
6

VERTUDEZ, DINA 379.14 11 4170.54 0 6 5 199.0 150 100 5055.35

D.
5

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

NO. OF TOTAL NIGHT SIGNATURE
NAME OF EMPLOYEE RATE DIFFERENTIAL HOLIDAY PAYS O.T DEDUCTIONS TOTAL
DUTIES REGULAR
WAGE
STAFF NURSES
AMOUNT SSS PHIL PAG- C.A. LATE/ PAG
8-4 4-12 12-8
HEALTH IBIG UNDER IBIG
TIME LOAN
ASUMIO, KATRINA B. 520.4 12 6244.80 12 0 0 750 260 100 195.15 295.98 6664.07
0
ALIPIO, MARLA GELLIAN C. 472.6 13 6144.71 8 0 5 177.25 230 100 118.17 295.84 5577.95
7
DE GUZMAN, THOM JOHN D. 472.6 13 6144.71 5 8 0 94.53 230 100 236.34 295.84 5377.06
7
EXIOMO, XANDY GIRL D. 472.6 10 4726.70 0 10 0 118.17 500 230 100 354.50 824.31 3836.06
7
DOMINGO, NICK RUSSEL U. 449 12 5388 7 0 5 168.38 220 100 392.88 4843.50
TABORDA, ERICK BRYAN F. 449 12 5388 0 5 7 291.85 449 220 100 56.13 5752.72
BARRIENTOS, MAE S. 449 14 6286 8 0 6 202.05 220 100 296.12 5871.93
ESTANTINO, PRINCESS 449 11 4939 0 3 8 303.08 220 100 224.50 232.47 4465.11
MELODY
BULLAN, DONNA LIZA 449 12 5388 0 6 6 269.40 250 100 1,207.5 3999.90
0
CORPUZ, TIMOTEO JR III 425.5 8 3404 2 0 6 191.48 200 100 365.20 2930.28
0

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

NO. OF TOTAL NIGHT SIGNATURE

NAME OF RATE DUTIES DIFFERENTIAL
HOLIDAY O.T DEDUCTIONS TOTAL
REGULAR
EMPLOYEE WAGE PAYS

UTILITY
8-4 4-12 12-8 AMOUNT SSS PHILHEALTH PAG- LATE/
IBIG UDER
TIME

BAGAYAN, JOMMEL 370 12 4440 4 5 3 129.50 200 100 4269.50

PAJARILLO, ARIEL 370 11 4070 3 4 4 148 200 100 46.25 3871.75

C.

VAFLOR, JOSHUA 370 12 4440 5 2 5 157.25 200 100 4297.25

MIGUEL

MATA, MICHAEL 370 11 3700 4 2 5 157.25 200 100 92.50 3467.75

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

NO. OF TOTAL NIGHT SIGNATURE

NAME OF EMPLOYEE RATE DIFFEREN HOLIDA O.T DEDUCTIONS TOTAL
DUTIES REGULAR TIAL
WAGE Y PAYS
SECURITY GUARDS
8-4 4-12 12-8 AMOUNT SSS PHIL PAG- C.A. LATE/ WITH
HEALTH IBIG UDER / TAX
TIME
CAMARILLO , CLYDE 370 11 4070 3 6 2 111 200 100 277.5 3603.50
0

SOLIS, LARRY 370 13 4810 4 3 6 194.25 200 100 4704.25

DOMINGO, ZALDY 370 13 4810 1 5 7 240.50 200 100 4750.50

DRIVER
MACARAEG, MARBEN L. 379.14 13 4928.82 13 0 0 200 100 4628.82

CANCIO, JESSIE JR T. 370 12 4440 12 0 0 200 100 323.7 3816.25

5

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

NO. OF TOTAL NIGHT SIGNATURE
NAME OF RATE DIFFERENTIAL HOLIDAY O.T DEDUCTIONS TOTAL
DUTIES REGULAR
EMPLOYEE WAGE PAYS

LABORATORY
8-4 4-12 12-8 AMOUNT SSS PHIL PAG- C.A. LATE/ PAG
HEALTH IBIG UNDER IBIG
TIME LOAN
CARPIZO, JOSEPHINE A. 472.67 8 3781.36 4 0 4 141.80 2457 200 100 236.34 2000 3844.70
.88

VALDEZ, RHEMELITA 425.50 8 3404 4 0 4 127.65 2212 200 100 106.38 5337.. 5337.87
N. .6 87

SERAFICA, IVY I. 472.67 1 472.67 1 0 0 614. 200 100 787.14

47

LACORTE, LILI 520.40 8 4163.20 5 0 3 117.09 3382 200 100 130.10 486.32 7496.47
.6+7
50

JAVIEN, MARY ANN C. 472.67 200 100

AGRUPIS, ALCEIA 370 4 1480 1 0 3 83.25 481 200 100 1744.25

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

NO. OF TOTAL NIGHT SIGNATURE

NAME OF RATE DIFFERENTIA HOLIDAY PAYS O.T DEDUCTIONS TOTAL
DUTIES REGULAR L
EMPLOYEE WAGE

X-RAY DEPT.
8-4 4-12 12-8 AMOUN SSS PHIL PAG- C.A LATE/ WITH
T HEAL IBIG . UNDER / TAX
TH TIME
200 100
BERNARDO, 425.50 7 2978.50 7 0 0 3872. 53.19 6497.36
ALMA
05

GAMBOA, 472.67 8 3781.36 8 0 0 4915. 200 100 59.08 9088.05

MICHAEL
77+7
50

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

NO. OF TOTAL NIGHT SIGNATURE
NAME OF RATE DIFFERENTIAL HOLIDAY O.T DEDUCTIONS TOTAL
DUTIES REGULAR
EMPLOYEE WAGE PAYS

OFFICE
8-4 4-12 12-8 AMOUNT SSS PHILHE PAG- C.A LATE/ PAG
ALTH IBIG . UNDER IBIG
TIME LOAN

DE GUZMAN, DAVE 496.47 13 6454.11 13 0 0 500 250 100 186.1 513.03 5954.90
ALEJANDRO D.
8
RAMIREZ, JASMIN C. 449 11 4939 11 0 0 200 100 112.2 398.04 4128.71
5
DE GUZMAN, BEA 425.50 13 5531.50 13 0 0 200 100 311.93 4760.01
LOURRAINNE C.
GANDIA, EMMA RUTH 425.50 11 4680.50 11 0 0 200 100 296.12 4403.57
VINLUAN
ARAÑA, JOBEN RAY 370 11 4070 8 2 962 200 100 4611.75
C.
MAINTENANCE

DE GUZMAN, 402.20 13 5228.60 13 0 0 100 200 100 1266.07 3662.53

RODOLFO D.
0

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

NO. TOTAL NIGHT SIGNATURE

NAME OF RATE DIFFERENTIA HOLIDAY O. DEDUCTIONS TOTAL
OF REGULA L
EMPLOYEE DUTIE R WAGE PAYS T
S
NURSE - AIDE
8-4 4-12 12-8 AMOUNT SSS PHILHE PAG- C.A. LATE/ PAG
ALTH IBIG UNDER IBIG
TIME LOAN
GUNDAYAO, CATHERINE 379.14 13 4928.8 6 7 0 66.35 200 100 277.11 4418.06
B.
2

SORIA, ALYSSA FAYE A. 379.14 12 4549.6 0 5 7 246.44 200 100 4496.12

8

LOBUSTA, JOHN 379.14 13 4928.8 8 0 5 142.18 200 100 47.39 296.12 4427.49
VINCENT A.
2

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

NO. TOTAL NIGHT

NAME OF RATE DIFFERENTIA HOLIDAY PAYS O.T DEDUCTIONS TOTAL SIGNATURE
OF REGULAR L
EMPLOYEE DUTIE WAGE
S
NEWLY HIRED
NA
8-4 4- 12- AMOUNT SSS PHILH PAG C. LATE/ WITH/
EALT - A. UNDER TAX
12 8 H IBIG TIME
JESSIEREL 370 200 100
BOLIVER

ALICIA CABALSE 370 9 3330 4 1 4 120.25 200 100 92.50 3057.75

NO. OF TOTAL NIGHT SIGNATURE

NAME OF RATE DIFFERENTIA HOLIDAY PAYS O.T DEDUCTIONS TOTAL
DUTIE REGULAR L
EMPLOYEE S WAGE

NEWLY HIRED RN

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________
 DIVINE MERCY FOUNDATION OF URDANETA HOSPITAL
# 25 High School Drive, San Vicente West, Urdaneta City, Pangasinan
Tel # 075-568-5563 / 075 -656-2103

8-4 4-12 12-8 AMOUNT SSS PHIL PAG- C. LATE/ WITH/

HEAL IBIG A. UNDER TAX
TH TIME
NACES, GRETCHEN 402.20 13 5228.60 5 8 0 80.44 200 100 301.61 4707.39

AGSALUD, MARY ANN D. 370 13 4810 5 8 0 74 200 100 185 4399

SUYAT, KATE CHRISTINE 370 12 4440 4 8 0 74 200 100 323.75 3890.25

ALVARADO, SHIELA 370 12 4440 0 5 7 240.5 200 100 4380.50

BIENDO, SHAIRA MAE 370 10 3700 0 4 6 203.5 200 100 92.50 3511

PAYROLL FOR THE MONTH OF OCTOBER 1-15, 2022

I hereby certify that I have personally paid in cash to each employee whose name
appears in the above payroll the amount set opposite his/her name.
APPROVED FOR PAYMENT: The amount in this payroll is ₱______________, including their overtime pay.
LEO D. TARECTECAN,MD/HOSPITAL ADMINISTRATOR
Officer assigned/Date: ___________________________/__________________