Name of Employee:
__________________________________
Position and Area:
__________________________________
SUMMARY OF PAYMENTS
Worked Days:
Overtime:
B
From___________ to ____________
MEAL ALLOWANCE (APPLICABLE EMPLOYEE ONLY)
(Days)________________________
AMOUNT
AMOUNT
(Hrs)_________________________
06- _____________
21- _____________
(Days)________________________
07- _____________
22- _____________
08- _____________
23- _____________
09- _____________
24- _____________
10- _____________
25- _____________
11- _____________
26- _____________
12- _____________
27- _____________
13- _____________
28- _____________
14- _____________
29- _____________
15- _____________
30- _____________
16- _____________
31- _____________
17- _____________
01- _____________
18- _____________
02- _____________
19- _____________
03- _____________
20- _____________
04- _____________
(Hrs)_________________________
Holidays:
Cut off Period:
(Legal)_________________________
(Special)________________________
SL/VL/SIL FILLED: (days)_________________________
A. Load Allowance:
P__________________
B. Meal Allowance:
P__________________
C. Transpo Expenses:
P__________________
D. Other Misc. Expenses: P__________________
C
05- _____________
TOTAL:___________
D
TOTAL: ____________
MISCELLANEOUS EXPENSES
Courier
P___________
PR:
P___________
Xerox No. Pages (_____)
P___________
Print No. Pages (_____)
P___________
Other's(Pls. specify) ____________
P___________
____________
P___________
____________
P___________
____________
P___________
____________
P___________
Total:
1.Attachments that requires approval needed to be done first before submission to office.
2. All expenses declaration must be true and correct and it must be base to what has been agreed upon.
Prepared By:
Noted by:
__________________
Signature Over printed Name
__________________
Salesman/Coordinator