ZZAMONG 4255 W 3RD ST

Employee Name RAFAEL AJUCHAN Id No. 6 LOS ANGELES CA 90020

For Period 04/01/12 to 04/15/12 Date 04/15/12 Check No. 10122
Type Rate Hours Current Year to Date Deductions Current Year to Date
Regular Pay 1060.00 7420.00 Social Security 44.52 311.64
Medicare 15.37 107.59
State Other 10.60 74.20

Totals 1060.00 7420.00 Totals 70.49 493.43

Social Security XXX-XX-0374 Net 989.51 6926.57