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Company Banner
 
Payee: Pay Date:
FIRST LAST 2/4/2010
 
Bank Transit Type Account Advice Number Amount
CREDIT UNION * * * * *3237S * * * *5590 XXXXXXX.1 271.98
CREDIT UNION * * * * *3237C * * * * *9956 XXXXXXX.2 2,142.41
Statement of Earnings and Deductions
Name Employee ID Department Base Rate
FIRST LAST XXX XXXXXXXX 29.91
Pay Period End Pay Date Federal Marital Status Federal Exemptions Federal Additional Amount
1/28/20102/4/2010S010.00
Earnings
Type Hours Rate Amount
CALLIN O/T SHIFT12.5046.37579.63
CALLIN O/T SHIFT10.0046.37463.70
REGULAR28.2529.91844.96
BIRTHDAY8.0029.91239.28
VACATION3.5029.91104.69
CALLIN O/T SHIFT7.0047.12329.84
REGULAR40.0029.911,196.40
OVERTIME0.2544.8711.22
Total Earnings: 109.50  3,769.72
Taxable Earnings Summary
Type Current YTD
Gross Pay 3,769.7210,295.61
Federal Taxable 3,660.469,959.64
State Taxable 3,704.8710,101.06
Net Pay: 2,414.39 
Paid Time Off Balances
Type Earned Taken Balance
VACATION V-57.693.50216.255
 
Deductions
  Type Current YTD
Pre-Tax  
  MEDICAL61.18183.54
  DENTAL3.229.66
  VISION0.451.35
  TSA MET LIFE50.00150.00
Taxes  
  FICA230.05626.79
  MEDICARE53.80146.59
  FEDERAL770.822,025.20
  STATE PA113.74310.10
  UC TAX PA3.028.24
  LOCAL KENNEDY37.05101.01
  LST KENNEDY2.006.00
Other  
  LIFE INSURANCE30.0049.20
  FUND RAISER 136.74
Total Deductions: 1,355.333,754.42
View your pay stub on-line anytime at www.doculivery.com/OhioValleyHospital
You will need to provide your login ID and your password.
OHIO VALLEY GENERAL HOSPITAL · 25 Heckel Rd · McKees Rocks PA 15136-1694 · Payroll Department 412-777-6289

 

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