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WEEKLY PAYROLL REGISTER

NAME
DATE

M
M
M
M
M
M
M
M
M
M

3
1
1
1
3
2
2
0
0
4

13.00
10.80
11.00
12.25
14.00
10.00
9.00
13.00
11.00
12.50

Overtime Hrs

Reg Hrs

Hourly Rate

July 22, 19-20xx


Withholding
Allowance

Name
Brown, J. K.
Caton, L. M.
Rodriguez, J. L.
Thai, J. T.
Ussery, D. A.
Venzor, L. T.
Williams, O. M.
Yancy, K. K.
Yeamon, B. E.
Yeoman, E. A.
Totals

Marital Status

For Week Ending:

40 8
40 5
40 9
40 12
40 3
40 2
40 4
40 5
40 9
40 12

Federal
Regular Overtime
Gross
Income Group
Earnings Earnings Earnings OASDI
HI
Tax
Med Ins
520.00
156.00
676.00
41.91
9.80
38.00
22.00
432.00
81.00
513.00
31.81
7.44
31.00
38.00
440.00
148.50
588.50
36.49
8.53
42.00
41.00
490.00
220.50
710.50
44.05 10.30
61.00
22.00
560.00
63.00
623.00
38.63
9.03
30.00
12.00
400.00
30.00
430.00
26.66
6.24
16.00
41.00
360.00
54.00
414.00
25.67
6.00
14.00
38.00
520.00
97.50
617.50
38.29
8.95
55.00
22.00
440.00
148.50
588.50
36.49
8.53
51.00
38.00
500.00
225.00
725.00
44.95 10.51
36.00
38.00
$4,662.00 $1,224.00 $5,886.00 $364.93 $85.35 $374.00 $312.00

Group
Total
Dental
DeducIns
tions
13.00
124.71
8.00
116.24
11.00
139.02
5.00
142.35
8.00
97.66
10.00
99.90
11.00
94.67
8.00
132.24
13.00
147.02
10.00
139.46
$97.00 $1,233.28

FORM 9-C

Net Pay
551.29
396.76
449.48
568.15
525.34
330.11
319.33
485.26
441.48
585.54
$4,652.72

NAME
DATE

FORM 9-C

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