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Earnings Statement: Non-Negotiable

This earnings statement is for Elizabeth Hernandez for the pay period of December 10-16, 2018 from Packers Sanitation Services. It shows her gross pay of $1,074.24, deductions for taxes and benefits, and net pay of $939.36 deposited into her checking account. Key details include her year-to-date wages, tax withholdings, hours worked, and company contact information.

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Morenita Pareles
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771 views1 page

Earnings Statement: Non-Negotiable

This earnings statement is for Elizabeth Hernandez for the pay period of December 10-16, 2018 from Packers Sanitation Services. It shows her gross pay of $1,074.24, deductions for taxes and benefits, and net pay of $939.36 deposited into her checking account. Key details include her year-to-date wages, tax withholdings, hours worked, and company contact information.

Uploaded by

Morenita Pareles
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CO. FILE DEPT. CLOCK VCHR. NO.

BK5 335309 008001 0000512018 1


Earnings Statement
049-0045
PACKERS SANITATION SERVICES, LTD., LLC Period Beginning: 12/10/2018
3681 PRISM LANE Period Ending: 12/16/2018
KIELER, WI 53812 Pay Date: 12/21/2018
888-871-6335

Taxable Marital Status: Single ELIZABETH M HERNANDEZ


Exemptions/Allowances: 503 W 8TH ST TRLR D
Federal: 3
IA: 3
STORM LAKE IA 50588

rate hours this period year to date


Regular 895 20 40 00 895 20 42 969 60
Your federal taxable wages this period are
Special 179 04 5 908 32
$1 047 57
Vacation 2 685 60
Gross Pay $1 074 24 51 563 52 Other Benefits and
this period total to date
Hours Worked 40 00
Statutory
Federal Income Tax -84 78 4 004 85 Vacation Bal 80 00
Social Security Tax -64 95 3 112 61
Medicare Tax -15 19 727 95
YOUR COMPANY PHONE NUMBER IS 888-871-6335
IA State Income Tax -49 75 2 312 10
CONFIRM YOUR NAME/ADDRESS FOR 2018 W2S. LOG ONTO
Dental Pre Tax -5 00* 255 00 SELF-SERVICE OR CALL PSSI AT 608-568-3413 TO UPDATE
Medical Pre Tax -20 00* 1 020 00
Vision -1 67* 85 17
Expense Reimb -296 11
Expense Reimb 2 -1 60

Expense Reimb +104 86


Expense Reimb 2 +1 60

Net Pay $939 36


Checking -939 36

Net Check $0 00

Excluded from federal taxable wages

2000 A DP, LLC

PACKERS SANITATION SERVICES LTD LLC Advice number: 00000512018


3681 PRISM LANE Pay date: 12/21/2018
KIELER WI 53812
888-871-6335

Deposited to the account of account number transit ABA amount


ELIZABETH M HERNANDEZ xxxxxx5785 xxxx xxxx $939 36

NON-NEGOTIABLE

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