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The payslip shows Amber Donaldson was paid $644.55 net pay for the pay period of July 17, 2022 to July 30, 2022. It includes details of her gross pay, taxes withheld, pre-tax and post-tax deductions, accrued time off, and year-to-date totals. The payslip provides information for Amber Donaldson's compensation and benefits for a specific pay period.

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0% found this document useful (0 votes)
340 views

Check 0805

The payslip shows Amber Donaldson was paid $644.55 net pay for the pay period of July 17, 2022 to July 30, 2022. It includes details of her gross pay, taxes withheld, pre-tax and post-tax deductions, accrued time off, and year-to-date totals. The payslip provides information for Amber Donaldson's compensation and benefits for a specific pay period.

Uploaded by

76xzv4kk5v
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Payslip: Amber Donaldson: 07/30/2022 06:57 PM

(Regular Run Category) - Complete 09/21/2022


Page 1 of 2

Company Information
Name Address Phone
Sedgwick Claims Management Services Inc. 8125 Sedgwick Way +1 866-686-0406
Memphis, TN 38125-1128
United States of America

Payslip Information
Check
Name Colleague ID Pay Period Begin Pay Period End Check Date Number
Amber Donaldson 200035576 07/17/2022 07/30/2022 08/05/2022

Current and YTD Totals


Pre Tax Employee Post Tax
Balance Period Hours Worked Gross Pay Net Pay
Deductions Taxes Deductions
Current 60.00 1,056.00 262.26 96.16 50.05 644.55
YTD 1,238.050002 26,193.93 4,367.63 2,166.20 800.80 18,859.30

Earnings
Description Dates Hours Rate Amount YTD
Bereavement 0.00
Referral Bonus 0.00
Group Term Life Imputed 07/17/2022 - 0.00 0.00 0.00 0.00
07/30/2022
Holiday 0.00
Miscellaneous 07/17/2022 - 0.00 0.00 0.00 0.00
07/30/2022
Overtime-Premium Rate 0.00
PTO 0.00
Regular Pay 07/17/2022 - 60.00 17.60 0.00 0.00
07/30/2022
Total: 644.55 644.55
Employee Taxes
Description Amount YTD
OASDI 78.09 1,449.66
Medicare 18.26 339.03
Federal Withholding 1.19 377.51
Total: 97.54 2,166.20

Pre Tax Deductions


Description Amount YTD
401(k) Deferral 86.12 1,541.71
AD&D Supplemental (_) 0.60 9.60
Dental Plus (_) 35.70 571.20
Limited Purpose FSA 9.62 153.92
Health Savings Account 15.38 246.08
Medical Advantage (_) 105.46 1,687.36
Vision Plus (_) 9.86 157.76
Total: 262.74 4,367.63
Post Tax Deductions
Description Amount YTD
401(k) Loan (002) 41.60 665.60
Vol Accident (_) 2.82 45.12
Payslip: Amber Donaldson: 07/30/2022 06:57 PM
(Regular Run Category) - Complete 09/21/2022
Page 2 of 2

Description Amount YTD


Life Child (_) 0.92 14.72
Life Spouse/DP (_) 2.22 35.52
Life Supplemental (_) 2.49 39.84
Total: 50.05 800.80

Employer Paid Benefits


Description Amount YTD
401K Employer Match 43.06 770.88
Dental Plus ER 11.91 190.56
EAP ER 0.85 13.60
BASIC LIFE AD&D ER 4.62 73.92
BASIC LTD ER 2.80 44.80
Medical Advantage ER 488.21 7,811.36
Total: 551.45 8,905.12
Subject or Taxable Wages
Description Amount YTD
OASDI - Taxable Wages 1,259.52 23,381.61
Medicare - Taxable Wages 1,259.52 23,381.61
Federal Withholding - Taxable Wages 1,173.40 21,839.90

Withholding
Description Federal Work State
Marital Status Married
Allowances 4 0
Additional Withholding 0
Time Off
Description Accrued Reduced Available
US - PTO 0.00 0.00 13.50

Payment Information
Pay Group
Bank Account Name Account Number Amount in Pay Group Currency Currency
Not Available DDA ******7682 644.55 USD
Total: 644.55

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