 |
| Statement of Earnings and Deductions | |
Name
|
Employee ID
|
Pay Date
|
Pay Period End
|
Check Number
|
Tax State
|
Location
|
| FIRST LAST |
XXXXX | 08/14/2009 | 08/14/2009 |
XXXXX | AZ |
XXXXXX |
|
| Hours and Earnings | |
Description
|
Rate |
Current Hours |
Current Amount |
YTD Hours |
YTD Amount |
| REGULAR | 18.73 | 56.00 | 1,048.88 | 1,180.75 | 22,115.57 | | VACATION | 100.000% | 16.00 | 299.68 | 61.50 | 1,151.90 | | MILEAGE | | | 34.36 | | 168.01 | | HOLIDAY | | | 0.00 | 64.00 | 1,198.73 | | SICK | | | 0.00 | 13.75 | 257.54 | | COMP | | | 0.00 | 8.00 | 149.84 | | MISC | | | 0.00 | | 12.31 | |
Total:
| |
1,382.92 | |
25,053.90 |
|
| Pre-Tax Deductions | |
Description
|
Current
|
YTD
| | 403(B) TIAA-CREF | 50.00 | 850.00 | | DEPENDENT DENTA | 14.50 | 434.22 | | SEC 125 MED | 125.00 | 1,875.00 | | HEALTH INSUR | 23.00 | 345.00 | | DEPENDENT MED | 131.50 | 4,835.50 | |
Total:
| 344.00 | 8,339.72 |
| |
| After Tax Deductions | |
Description
|
Current
|
YTD
| | SEC 125 FEE | 0.98 | 14.70 | | EMPLOYEE LIFE | 13.06 | 195.90 | | UNITED WAY | 5.00 | 85.00 | | LOAN REPAYMENT | 78.00 | 813.50 | | GARNISHMENT | 274.73 | 1,278.78 | | MISC | 0.00 | 12.31 | |
Total:
| 371.77 | 2,400.19 |
|
| Taxes | |
Description
|
Current |
YTD |
| FICA TAX | 65.38 | 1,077.78 | | MEDICARE TAX | 15.29 | 252.07 | | FED INCOME TAX | 0.00 | 57.95 | | AZ INCOME TAX | 0.00 | 15.02 | |
Total:
| 80.67 | 1,402.82 |
| |
| Employer Paid Benefits | |
Benefit ID
|
Current
|
YTD
| | AD&D | 0.77 | 11.55 | | ST DISABILITY | 6.11 | 91.65 | | LIFE INSURANCE | 4.20 | 63.00 | | WORKERS COMP | 19.61 | 355.29 | | LT DISABILITY | 3.95 | 59.25 | | MEDICAL INSUR | 139.50 | 2,092.50 | | DENTAL INSUR | 12.46 | 186.90 |
|
| Totals | |
Gross Wages
|
-Pre Tax Deductions
|
=Taxable Wages
|
Less Taxes
|
-After Tax Deductions
|
=Net Pay
| |
Current
| 1,382.92 | 344.00 | 1,004.56 | 80.67 | 371.77 | 586.48 | |
Year-To-Date
| 25,053.90 | 8,339.72 | 16,533.86 | 1,402.82 | 2,400.19 | 12,911.17 |
|
|
Attendance 9/1/2008 through 8/14/2009 | |
Type
|
Carry-Over
|
Accrued
|
Used
|
Credited
|
Remaining
| | Vacation | 0.00 | 152.00 | 86.16 | 0.00 | 65.84 | | Sick | 9.80 | 46.16 | 35.09 | 0.00 | 20.87 |
|
| Direct Deposit | |
Payment Type
|
Account Type
|
Account Number
|
Amount
| | EFT | Checking | XXXXX9144 | 586.48 | |
Total Amount:
| 586.48 |
|
|