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Earnings Statement: Non-Negotiable

This document is an earnings statement for an employee covering the period from November 16, 2019, to November 30, 2019. The gross pay for the period is $1,420.84, with a net pay of $1,212.39 after deductions for taxes. The statement also includes details about the employee's tax status and benefits.

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50 views1 page

Earnings Statement: Non-Negotiable

This document is an earnings statement for an employee covering the period from November 16, 2019, to November 30, 2019. The gross pay for the period is $1,420.84, with a net pay of $1,212.39 after deductions for taxes. The statement also includes details about the employee's tax status and benefits.

Uploaded by

wfh29kp4zv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CO. FILE DEPT. CLOCK VCHR. NO.

046
LV3 000342 000300 0000651284 2 Earnings Statement
Business Name Here Period Beginning: 11/16/2019
Business Address Here Period Ending: 11/30/2019
APT # Street Name Pay Date: 11/29/2019
City State Zip-code

Taxable Marital Status: Single Place Your Name Here


Exemptions/Allowances: Place Your Address Here
Federal: Tax Exempt City, State Zip-Code
State:

rate salary/hours this period year to date Other Benefits and


Regular 1420 84 86 67 1 420 84 28 933 42 this period total to date
Sick 8 00 Sick 88 00
Gross Pay $1 420 84 28 933 42 Vacation 120 00

Statutory COMPANY PH :- 730-497-4267


Social Security Tax -88 09 1 793 87
Medicare Tax -20 60 419 53 BASIS OF PAY: SALARY
State Income Tax -99 76 1 869 10
State SUI/SDI Tax 27 00

Net Pay $1 212 39


Checking 1 -1 212 39

Net Check $0 00

2000 A DP, LLC

Business Name Here Advice number: 00000560003


Business Address Here Pay date: 11/29/2019
APT # Street Name
City, State Zip Code

Deposited to the account of account number transit ABA amount


Type Your Name Here xxxxx5967 xxxx xxxx $1 212 39

NON-NEGOTIABLE

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