You are on page 1of 1

DATE

AMOUNT

PAY

PAY TO THE ORDER OF

FILE RECORD
FILE RECORD
AUTHORIZED SIGNATURE

Employee Number: Department Number: Social Security Number: Withholding Allowances:


Earnings
Description
18571.94 10297.32

Pay Date: Pay Period:

10/11/2012 10/11/2012-10/11/2012

NET PAY:
M8
Taxes

***741.43

Deductions / Miscellaneous Items


Year-To-Date
201.31 1369.70 472.97 326.15 132.77

Hours
40 18

This Period
480.00 324.00

Year-To-Date
19051.94 10621.32

Description
FEDERAL INCOME T SOCIAL SECURITY T MEDICARE TAX DISABILITY INSURA STATE INCOME TAX

This Period
6.34 33.77 11.66 8.04 2.76

Description

This Period

Year-To-Date

Total Earnings

804.00

29673.26

Total Taxes

62.57

2502.90

Total Deductions

0.00

0.00

Employee Number: Department Number: Social Security Number: Withholding Allowances


Earnings
Description
18571.94 10297.32

Pay Date: Pay Period:

10/11/2012 10/11/2012-10/11/2012

M8
Taxes

NET PAY:

***741.43

Deductions / Miscellaneous Items


Year-To-Date
201.31 1369.70 472.97 326.15 132.77

Hours
40 18

This Period
480.00 324.00

Year-To-Date
19051.94 10621.32

Description
FEDERAL INCOME T SOCIAL SECURITY T MEDICARE TAX DISABILITY INSURA STATE INCOME TAX

This Period
6.34 33.77 11.66 8.04 2.76

Description

This Period

Year-To-Date

Total Earnings

804.00

29673.26

Total Taxes

62.57

2502.90

Total Deductions

0.00

0.00

You might also like