CO. FILE DEPT. CLOCK VCHR. NO.
V6J 102772 000KEN 0000269533 1
Earnings Statement
MARI DE VILLA RETIREMENT CENTER Period Beginning: 08/11/2025
13900 CLAYTON RD Period Ending: 08/17/2025
TOWN AND COUNTRY, MO 63017 Pay Date: 08/22/2025
TIANA WILLIAMS
Filing Status: Single/Married filing separately 1405 PINE ST
Exemptions/Allowances:
Federal:
SAINT LOUIS MO 63103
rate hours this period year to date Other Benefits and
Regular 25 7500 40 00 1 030 00 this period total to date
Overtime 38 6300 18 41 711 18
Holiday Pay 180 00
Gross Pay $1 741 18 37 097 32
Exemptions/Allowances:
Statutory
Federal Income Tax -130 54 3 ,167 20
Social Security -107 95 2,257 85
Medicare -25 25 528 19
Missouri State Tax -47 00 1 ,127 00
Net Pay $1 430 44
Checking -1 430 44 1 430 44
Net Check $0 00
2000 ADP, Inc.
MARI DE VILLA RETIREMENT CENTER Advice number: 00000269533
13900 CLAYTON RD D Pay date: 08/22/2025
TOWN AND COUNTRY, 3 MO 63017
Deposited to the account of account number transit ABA amount
TIANA WILLIAMS xxxxxxxx4682 xxxx xxxx $1 430 44
NON-NEGOTIABLE