CLOCK
0R8 343622 121255 000020481092 Earnings Statement
GOODIS CAFE Period Beginning: 06/01/2025
300 HOWARD DRIVE Period Ending: 06/14/2025
SPARKS NV 89434 Pay Date: 06/20/2025
(775) 843-0776
ASHLEY A HARTSHORN
Filing Status: Single/Married filing separately
Exemptions/Allowances:
3435 ROLLING RIDGE RD
Federal: Standard Withholding Table RENO NV 89506
Social Security: XXX-XX-3191
rate hours this period year to date Your NV taxable wages this period are $2,600.00
Regular 32.50 80.00 $2,600.00 $5,200.00 Other Benefits and
Overtime 500.00
2Bonus Perform 78.24 Total Work Hours: 80/HRS
Gift Card 0.00
Holiday 0.00 Employee ID: 1230
Perfect Attend 371.98 :
Straight Prem 0.00 Important Notes
Vacation 0.00 BASIS OF PAY: HOURLY
Gross Pay $2,600.00 $6,149.24
Statutory
Federal Income Tax - 249.46 498.92 Additional Tax Withholding Information
Taxable Marital Status:
Social Security Tax - 161.20 322.40 NV: Single:
Medicare Tax - 37.70 75.40
NV State Income Tax - 0.00 0.00
0.00
Total −448.36
Net Pay $2,151.64
Checking $2,151.64
Net Check $0.00
Excluded from federal taxable wages
Your federal taxable wages this period are $2,600.00 2000 A DP, LLC
GOODIS CAFE Advice number: 000020481092
300 HOWARD DRIVE Pay date: 06/20/2025
SPARKS NV 89434
(775) 843-0776
Deposited to the account of account number transit ABA amount
Ashley A Hartshorn xxxxxxxxxx xxxx xxxx $2,151.64
NON-NEGOTIABLE