SOCIAL SECURITY SYSTEM

COLLECTION LIST THRU USB

TRANSMITTAL

Filename : PERL1407
Employer Name : PERLA C MAGAYANES
Employer ID Number : 05-0745218-0
Applicable Month : Oct-17
Total Number of Employees : 1
Total Amount : 1,153.62

REMITTANCE
Amount : 1,153.62
Trans/SBR Number : E01010700500078
Date Paid (mm/dd/yyyy) : 12/21/2017

TO BE FILLED UP BY MSR
Received By
Date Received

USB RETURNED TO EMPLOYER

DUE TO: DATE:
VIRUS WAS NOT TREATED
DETAILS NOT EQUAL TO PAYMENT
INVALID FILE FORMAT

PERLA C. MAGAYANES

DATE:
 SOCIAL SECURITY SYSTEM
COLLECTION LIST THRU USB
TRANSMITTAL

Filename :
Employer Name : PERLA C MAGAYANES
Employer ID Number : 05-0745218-0
Applicable Month : Nov-17
Total Number of Employees : 1
Total Amount : 1,153.62

REMITTANCE
Amount : 1,153.62
Trans/SBR Number : E01010700500079
Date Paid (mm/dd/yyyy) : 12/21/2017

TO BE FILLED UP BY MSR
Received By
Date Received

USB RETURNED TO EMPLOYER

DUE TO: DATE:
VIRUS WAS NOT TREATED
DETAILS NOT EQUAL TO PAYMENT
INVALID FILE FORMAT

PERLA C. MAGAYANES

DATE:
 SOCIAL SECURITY SYSTEM
COLLECTION LIST THRU USB
SAVE
TRANSMITTAL
BACK
Filename :
Employer Name : PERLA C MAGAYANES
Employer ID Number : 05-0745218-0
Applicable Month : Dec-17
Total Number of Employees : 1
Total Amount : 1,152.62

REMITTANCE
Amount : 1,153.62 * required field
Trans/SBR Number : E0103160438009 *
Date Paid (mm/dd/yyyy) : 03/02/2018 *

TO BE FILLED UP BY MSR
Received By
Date Received

USB RETURNED TO EMPLOYER

DUE TO: DATE:
VIRUS WAS NOT TREATED
DETAILS NOT EQUAL TO PAYMENT
INVALID FILE FORMAT

PERLA C. MAGAYANES

DATE:
 SOCIAL SECURITY SYSTEM
COLLECTION LIST THRU USB
SAVE
TRANSMITTAL
BACK
Filename :
Employer Name : PERLA C MAGAYANES
Employer ID Number : 05-0745218-0
Applicable Month : Sep-17
Total Number of Employees : 1
Total Amount : 1,153.62

REMITTANCE
Amount : 1,153.62 * required field
Trans/SBR Number : E0103160438009 *
Date Paid (mm/dd/yyyy) : 03/02/2018 *

TO BE FILLED UP BY MSR
Received By
Date Received

USB RETURNED TO EMPLOYER

DUE TO: DATE:
VIRUS WAS NOT TREATED
DETAILS NOT EQUAL TO PAYMENT
INVALID FILE FORMAT

PERLA C. MAGAYANES

DATE:
 SOCIAL SECURITY SYSTEM
COLLECTION LIST THRU USB
TRANSMITTAL

Filename :
Employer Name : PERLA C MAGAYANES
Employer ID Number : 05-0745218-0
Applicable Month : Jan-18
Total Number of Employees : 1
Total Amount : 1,153.62

REMITTANCE
Amount : 1,153.62
Trans/SBR Number : E01030700500154
Date Paid (mm/dd/yyyy) : 04/24/2018

TO BE FILLED UP BY MSR
Received By
Date Received

USB RETURNED TO EMPLOYER

DUE TO: DATE:
VIRUS WAS NOT TREATED
DETAILS NOT EQUAL TO PAYMENT
INVALID FILE FORMAT

PERLA C. MAGAYANES

DATE:
 SOCIAL SECURITY SYSTEM
COLLECTION LIST THRU USB
TRANSMITTAL

Filename :
Employer Name : PERLA C MAGAYANES
Employer ID Number : 05-0745218-0
Applicable Month : Jan-18
Total Number of Employees : 0
Total Amount : 1,153.62

REMITTANCE
Amount : 1,153.62
Trans/SBR Number : E01030700500154
Date Paid (mm/dd/yyyy) : 04/24/2018

TO BE FILLED UP BY MSR
Received By
Date Received

USB RETURNED TO EMPLOYER

DUE TO: DATE:
VIRUS WAS NOT TREATED
DETAILS NOT EQUAL TO PAYMENT
INVALID FILE FORMAT

PERLA C. MAGAYANES

DATE: