CO. FILE DEPT. CLOCK VCHR. NO.

070
BUQ 003251 000003 0000040053 2 Earnings Statement
THE TOWBES GROUP INC Period Beginning: 01/06/2017
PO BOX 20130 Period Ending: 01/23/2017
SANTA BARBARA, CA 93120 Pay Date: 01/31/2017

Taxable Marital Status: Married MERVILYN HERNANDEZ

Exemptions/Allowances: 1053 CASITAS PASS ROAD
Federal: 4
CA: 1
#103
CARPINTERIA CA 93013

Social Security Number: XXX-XX-8803

rate hours this period year to date Other Benefits and
Perform Incent 1 357 00 1 357 00 this period total to date
Regular 4 639 74 Er Ltd Class 2 10 68
Mgr Apt Rent 1 332 00 125 Er Dental 13 48
Gross Pay 1 357 00 7 328 74 125 Er Health 551 64

Sick Hrs 112 00

Statutory Vacation Hrs 154 05
Federal Income Tax 318 89 525 57
Social Security Tax 84 14 352 27
Medicare Tax 19 67 82 38
CA State Income Tax 130 49 195 35
CA SUI/SDI Tax 12 21 63 12

401K Ee Contrib 81 42* 439 72

Mgr Apt Rent 1 332 00
125 Dental 22 50
125 Medical 75 88
125 Medical Fsa 216 66

Net Pay 710 18

Dd Checking 710 18 4 023 29

Net Check 0 00

* Excluded from federal taxable wages

Your federal taxable wages this period are

$1 275 58

2000 A DP, LLC

THE TOWBES GROUP INC Advice number: 00000040053

PO BOX 20130 Pay date: 01/31/2017
SANTA BARBARA CA 93120

Deposited to the account of account number transit ABA amount

MERVILYN HERNANDEZ xxxxxx8989 xxxx xxxx $710 18

NON-NEGOTIABLE