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CLIENT INFORMATION SHEET Client Status # : 17851 Date : February 29, 2024 1. CLIENT PROFILE | DECLARED DEPENDENT/S: I.D. Number : 18622 *** RELEASED: Oct-02-2015 *** | Name Birth Age Name/Type : Galvez, Jose F. (RT) | --------------- ----------- --- Address : # 697 Kaibigan St., Kalayaan | Brgy. Batasan Hills, Q.C.{1126 | * NO DEPENDENTS * Phone Nos. : 09154536469|*428-41 | Birthday/Age: March 19, 1939 (85 yrs.) | Debit/Acct. : _________________________/_____________| Email Addr. : _______________ | Facebook : _______________ | SSS/Coll.Day: GS39031900445 (008) | Spouse : Lucia 3.4.1946 | --------------------------------------------------------------------------------------------- 2. ACCOUNT STATUS | OUTSTANDING LOAN/S: Bank/Acct : Union-G.S.I.S. Client (UBGSS) | ATM109594380170 Bankbal: 0.00 | * NO OUTSTANDING LOANS * Inst. Currnt: P 0.00 Pension: 5,458.93 | Latest: P 0.00 Coll'n.: 2,000.00 | Balance Term: 0 Mos Cntngnt: 04-01-2010 | Overdue : P 0.00 | Sukli Bal. : P 0.00 | Total O.B. : P 0.00 | L.C./Office : Betiong, Analiza (AB3)/TSR | Coll'n Alert: *** OKAY *** | Co-Maker : Galvez, Lucia 2015-09 | : *** none *** | Concerns : ___ ______________ NON-ADA Bnk: UBGSS | Client age: 70 up ___ ______________ | --------------------------------------------------------------------------------------------- ADDITIONAL NOTES/REMARKS: | DATE REFERENCE STS COLLECTION INSTALLS A/P id#18622: DECEASED due to RESPIRATORY FAILURE, died: | ----------- ------------ --- ---------- ---------- ---------- 09.27.15 w/ DC..khatt09.30.15 | Dec-16-2014 Adjst sent by col. id#18622-Galvez, Jose F. | Feb-26-2015 Feb'15 Prblm OUB update bank balance bank bal. Php 68.13 by Ms.Au 2/24/15 Mary | Mar-08-2015 Mar'15 Colln 5,200.00 2,000.00 3,200.00 The client hereby authorized his Wife, Lucia O. Galvez | Mar-09-2015 Sukli C-S A/P Ck PST -3,200.00 to encash his cheque of his loan for the month of May. | Apr-09-2015 Apr'15 Colln 5,400.00 2,000.00 3,400.00 - Roxanne 05/22/14 | Apr-10-2015 Sukli C-S A/P Ck PST -3,400.00 b.i jc 09-23-10 | May-07-2015 Sukli Adjustd fr. Lo -3,200.00 - the Pensioner hereby authorized, Lucia O. Galvez to | May-07-2015 Sukli Closed: 193173 encash his Cheque of his Loan for the month of April | May-09-2015 May'15 Colln 5,500.00 2,000.00 3,500.00 2014. | Jun-08-2015 Jun'15 Colln 5,500.00 2,000.00 3,500.00 - Lemuel 04/30/2014 | Jun-09-2015 Sukli C-S A/P Ck PST -3,800.00 - the Pensioner hereby authorized, Lucia O. Galvez to | Jul-09-2015 Sukli C-S A/P Ck PST -3,500.00 encash her Cheque of her loan and also his monthly GSIS | Jul-09-2015 Jul'15 Colln 5,400.00 2,000.00 3,400.00 Pension Excess for the month of February 2014. - | Aug-08-2015 Aug'15 Colln 5,500.00 2,000.00 3,500.00 Lemuel 03/20/2014 | Aug-10-2015 Sukli C-S A/P Ck PST -3,400.00 -The pensioner hereby authorized Lucia O. Galvez to | Sep-08-2015 Sukli C-S A/P Ck PST -3,400.00 personally encash the cheque of his monthly GSIS | Sep-09-2015 Sep'15 Colln 5,400.00 2,000.00 3,400.00 pension excess for the month of December 2013. | Sep-30-2015 Dec'15 Colln TOD 5,700.00 5,700.00 JHAL 02/20/2014 | Oct-01-2015 Dec'15 Colln 300.00 300.00 _____________________ _________________________ ____________________________________ Analyst Interviewer Client Conforme (Signature Verified)
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