Forms - Payroll Labor
Forms - Payroll Labor
PAYROLL
Name of Project:
Total amount of labor per POW: Payroll No:
Number of Laborers per POW:
Number of days per POW:
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.
______________________________
Signature over Printed Name of Authorized Official Date (Signature over Printed Name)
School Head
Date
B CERTIFIED: Supporting documents complete and proper; and cash available in the amount of D CERTIFIED: Each employee E
P______________________. whose name appears on the
payroll has been paid the amount ORS/BURS No. : __
as indicated opposite his/her Date : __________
name
(Disbursing Officer) JEV No. : ________
Date Date : ____________________
((Signature over Printed Name)