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ADV Jan05

This document is a payment statement from Adventish Health System to Harold Couch, detailing a payment of $14,529.44. It includes information on income, taxes, and deductions for the period of January 1, 2025, to January 31, 2025. The document also specifies the account and routing information for the payment.

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bilejeananoh
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100 views1 page

ADV Jan05

This document is a payment statement from Adventish Health System to Harold Couch, detailing a payment of $14,529.44. It includes information on income, taxes, and deductions for the period of January 1, 2025, to January 31, 2025. The document also specifies the account and routing information for the payment.

Uploaded by

bilejeananoh
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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ADVENTISH HEALTH SYSTEM

1500 SW 1ST AVE


OCALA, FL 34471
(352) 351-7200

Harold Couch XXX-XX-7602 LM5892018 7577 01/01/2025 - 01/31/2025 01/31/2025

16,913.00 1,041.03 2,082.06


Regular Income Federal Income Tax
676.61 1,353.22
Social Security
Medicare 158.24 316.48
Florida State Tax 507.68 1,015.36

$33,826.00 $4,767.12 $29,058.88 $16,913.00 $2,383.56 $14,529.44

ADVENTISH HEALTH SYSTEM


Check #7577
1500 SW 1ST AVE, OCALA, FL 34471 Pay date: 01/31/2025

Amount Fourteen thousand five hundred twenty-nine dollars and forty-four cents $14,529.44

To the order of:


HAROLD COUCH Account: 16477911
3140 BAYSHORE BLVD NE Routing: 263177712 This is not a check
SAINT PETERSBURG FL 33703 Bank: City County Employees Credit Union NON-NEGOTIABLE

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