CO. FILE DEPT. CLOCK VCHR. NO.
V6J 102772 000KEN 0000254339 1
Earnings Statement
CVS PHARMACY #01971 Period Beginning: 07/07/2025
4715 WALMSLEY BLVD Period Ending: 07/20/2025
RICHMOND, VA 23234 Pay Date: 07/25/2025
MADINA OUANE
Filing Status: Single/Married filing separately 6606 ROUSEAUX DR
Exemptions/Allowances:
Federal:
RICHMOND VA 23234
rate hours this period year to date Other Benefits and
Regular 19 5000 79 54 1 551 03 this period total to date
Overtime 29 2500 0 00 0 00
Holiday Pay 180 00
Gross Pay $1 551 03 20 217 46
Exemptions/Allowances:
Statutory
Federal Income Tax -107 72 1 ,250 05
Social Security -96 16 1,253 51
Medicare -22 49 293 17
Virginia State Tax -59 93 730 93
, ,
Net Pay $1 264 73
Checking -1 264 73 1 264 73
Net Check $0 00
2000 ADP, Inc.
CVS PHARMACY #01971 Advice number: 00000254339
4715 WALMSLEY BLVD D Pay date: 07/25/2025
RICHMOND, VA 23234
Deposited to the account of account number transit ABA amount
MADINA OUANE xxxxxxxx3981 xxxx xxxx $1 264 73
NON-NEGOTIABLE