GOVERNMENT SERVICE INSURANCE SYSTEM

eBilling and Collection System

Summary of Totals
Due Month - MAY, 2017

Creation Date: 06/06/2017

Broker Report ID: 170644373301
Reporting Broker: 1000022563 PROVL GOVT OF ANTIQUE
Office Code: E73050000
Sub-Agency: 1000022563
Address: PROVL CAPITOL, SAN JOSE ANTIQUE, 5700
BP Type: A101

Uploaded by: 2001466286 JULIAN, ESTHER MINNIE A Mode of Payment: n/a

Upload Date/Time: 05/24/2017 03:20 PM Bank Name: n/a
Issuing Branch: n/a Bank Transaction No.: n/a
No. of Paying Members: 1107 Transaction Date: n/a

# Members Account Code Description Due Month Amount

1 EC Employees Compensation 1/2016 100.00

1 GS Government Share 1/2016 2,823.94
1 PS Personal Share 1/2016 2,117.96

3 Sub-total for 1/2016 5,041.90

1 EC Employees Compensation 2/2016 100.00
1 GS Government Share 2/2016 4,168.68
1 PS Personal Share 2/2016 3,126.51

3 Sub-total for 2/2016 7,395.19

1 EC Employees Compensation 3/2016 100.00
1 GS Government Share 3/2016 3,630.79
1 PS Personal Share 3/2016 2,723.09

3 Sub-total for 3/2016 6,453.88

1 CONSOLOAN Consolidated Loan 3/2017 1,300.92
1 EAL Educ Asst 3/2017 20.00
4 EC Employees Compensation 3/2017 384.82
1 EMRGYLN Emergency Loan 3/2017 1,311.12
4 GS Government Share 3/2017 9,916.20
4 PS Personal Share 3/2017 7,437.15

15 Sub-total for 3/2017 20,370.21

3 CONSOLOAN Consolidated Loan 4/2017 13,250.65
4 EAL Educ Asst 4/2017 80.00
13 EC Employees Compensation 4/2017 1,290.04
1 ECARDPLUS Ecard Cash Advance 4/2017 338.68
3 EMRGYLN Emergency Loan 4/2017 3,934.24
13 GS Government Share 4/2017 27,272.28
2 HELP Home Emergency Loan 4/2017 4,560.96
3 PLREG Policy Loan - Regular 4/2017 400.00
13 PS Personal Share 4/2017 20,454.21

55 Sub-total for 4/2017 71,581.06

861 CONSOLOAN Consolidated Loan 5/2017 2,504,589.00
665 EAL Educ Asst 5/2017 15,105.00
1086 EC Employees Compensation 5/2017 107,540.25
774 EMRGYLN Emergency Loan 5/2017 911,883.96

6690 Sub-total for 5/2017 9,139,268.65

 1087 GS Government Share 5/2017 2,542,864.68
547 HELP Home Emergency Loan 5/2017 1,017,728.21
7 PLOPT Policy Loan - Optional 5/2017 2,770.82
562 PLREG Policy Loan - Regular 5/2017 125,041.41
1087 PS Personal Share 5/2017 1,907,148.51
14 UOLI Opt Life 5/2017 4,596.81

6690 Sub-total for 5/2017 9,139,268.65

GRAND TOTAL: 9,250,110.89 PHP

No. of records uploaded from file: -

No. of Accounts: 6769

Printed by: JULIAN, ESTHER MINNIE A Issuing Branch: n/a Printed Date Time: 06/06/2017 03:25 PM

DUE: NINE MILLION TWO HUNDRED FIFTY THOUSAND ONE HUNDRED TEN PHP and EIGHTY NINE centavos.

OR Number: n/a
OR Date: n/a

Report generated by JULIAN, ESTHER MINNIE A on May 01, 2017 12:00:00 AM