Pay Group: WK2-Weekly Sun-Sat Business Unit: 30190
Amedisys Holding, LLC Pay Begin Date: 07/12/2020 Advice #: 8726068
Pay End Date: 07/18/2020 Advice Date: 07/24/2020
3854 American Way, Suite A
Baton Rouge, LA 70816
978/937-0022
TAX DATA: Federal MA State
Katherine Camilo Herrera Employee ID: 10062472 Marital Status: Single Single
70 Broadway St Department: 0000-Agency Department Allowances: 0 0
Methuen, MA 01844 Location: Lowell MA PPI PCL Addl. Percent:
Employee Type: Hourly Job Title: PCL Supportive HCA
Addl. Amount:
HOURS AND EARNINGS TAXES
---------------- Current ---------------- ------------ YTD ----------
Description Rate Visits Qty. Earnings Qty. Earnings Description Current YTD
Regular Hours PCL 15.00 30.00 H 450.00 1,232.00 18,475.0o Fed Withholdng 41.43 2,119.83
Bonus 589.00 Fed MED/EE 6.52 297.83
Referral Bonus 300.00 Fed OASDI/EE 27.90 1,273.47
Hrly - PCL Holiday Hrs Worked 30.50 686.25 MA FLI/EE 0.59 26.74
Overtime .5 PCL 62.50 489.56
MA Withholdng 20.99 953.30
MA MLI/EE 1.12 50.94
TOTAL: Hours: 30.00 450.00 1,262.50 20,539.81 TOTAL: 98.56 4,722.11
Units: 0.00 0.00
Points: 0.00 0.00
Tracking/Service Hours: 0.00 0.00
BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS
Description Current YTD Description Current YTD Description Current YTD
TOTAL: 0.00 0.00 TOTAL: 0.00 0.00 *TAXABLE
TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
Current 450.00 450.00 98.55 0.00 351.45
YTD 20,539.81 20,539.81 4,722.11 0.00 15,817.70
PTO BALANCES NET PAY DISTRIBUTION
Plan Starting Payment Type Account Type Account Number Amount
Earned Taken Adjustments Available Balance
Description Balance Advice #000000008726068 Checking 466005225709 351.45
Sick 40.00 0.00 0.00 0.00 40.00 (40.00)
TOTAL: 351.45
NOTE: Rate * Hours = Earnings unless an hours or earnings adjustment is included or Rate is from an FLSA calculation. H = Hou rs , U = Units, P = Points. Sick Plan: Amount in Parentheses reflects the
Total Earned balance.
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