WEEKLY PAYROLL REGISTER

For Week Ending:

Totals

NAME
DATE

13.00
10.80
11.00
12.25
14.00
10.00
9.00
13.00
11.00
12.50

Overtime Hrs

3
1
1
1
3
2
2
0
0
4

Reg Hrs

Withholding
Allowance

M
M
M
M
M
M
M
M
M
M

Hourly Rate

Marital Status

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.

July 22, 19-20xx

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

Federal
Income Group
Tax
Med Ins
38.00
22.00
31.00
38.00
42.00
41.00
61.00
22.00
30.00
12.00
16.00
41.00
14.00
38.00
55.00
22.00
51.00
38.00
36.00
38.00

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

Net Pay
551.29
396.76
449.48
568.15
525.34
330.11
319.33
485.26
441.48
585.54

$4,662.00 $1,224.00 $5,886.00 $364.932 $85.35 $374.00 $312.00

$97.00 1,233.28

4,652.72

Regular Overtime
Gross
Earnings Earnings Earnings OASDI
520.00
156.00
676.00
41.91
432.00
81.00
513.00
31.81
440.00
148.50
588.50
36.49
490.00
220.50
710.50
44.05
560.00
63.00
623.00
38.63
400.00
30.00
430.00
26.66
360.00
54.00
414.00
25.67
520.00
97.50
617.50
38.29
440.00
148.50
588.50
36.49
500.00
225.00
725.00
44.95

HI
9.80
7.44
8.53
10.30
9.03
6.24
6.00
8.95
8.53
10.51

FORM 9-C