Republic of the Philippines SOCIAL SECURITY SYSTEM http://www.sss.gov.ph THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED KITAYAMA, VIRGINIA RAMIREZ Reference Number: VH231518573921 Amount Due: P560.00 Due Date: January 31, 2024 Generation Date: December 12, 2023 SS Number: 33-9260780-4 Payor Type: Voluntary STATEMENT OF ACCOUNT Note: Pursuant to Circular No. 2020-032 dated 24 November 2020, starting January 2021, SS contribution includes Workers' Investment and Savings Program or WISP (SSS Provident Fund) contribution. APPLICABLE PERIOD INDIVIDUAL PAYMENT REFERENCE NUMBER AMOUNT Dec 2023 to Dec 2023 VH231518573921 P560.00 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 KITAYAMA, VIRGINIA RAMIREZ SS Number: 33-9260780-4 Cash ( ) Cheque ( ) Total Amount Paid P ______________________ Cheque No. ________________ Bank/Branch _______________ Bank Teller ________________