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DAILY WAGE PAYROLL Page_____of_____

Agency: Brgy. Government of SINABAAN


Project
Period: ____________________
Number Rate per Amount Paid Signature Date
Name Occupation Days Day
Worked
1. RHODANTE B. QUEBRAL LABORER 5 400.00 2,000.00
2. EDUARDO E. MARCELO, SR. LABORER 5 400.00 2,000.00
3. RUSTOM J. BELENZO LABORER 5 400.00 2,000.00
4. JOSE G. MANGAMPAT LABORER 5 400.00 2,000.00
5. EMMANUEL M. FERRER LABORER 5 400.00 2,000.00
TOTAL 10,000.00
CERTIFIED: Approved for Payment: CERTIFIED:
Each person whose name appears on this Each person whose name appears on the
roll had rendered services for the time stated. roll has paid the amount stated opposite
his name after identifying him.

ELEODORO A. FERRER
ERNESTO M. TAGULAO ELVIRA F. MARTINEZ Name & Signature of Disbursing Officer
Name & Signature of Foreman/Supervisor
Name & Signature of Approving officer

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