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CO. FILE DEPT. CLOCK VCHR. NO.

130
P2A 155629 016000 PC003 0000391491 1 Earnings Statement
PAPPAS RESTAURANTS INC Period Beginning: 09/12/2018
13939 NORTHWEST FREEWAY Period Ending: 09/25/2018
HOUSTON TX 77040 Pay Date: 10/03/2018
713−869−0151

Taxable Marital Status: Single BRISELLE C NICHOLAS


Exemptions/Allowances: 14711 EL GRANDE DR
Federal: 2
TX: No State Income Tax
HOUSTON TX 77083

rate hours this period year to date Other Benefits and


Regular 2 1300 80 00 170 40 2 417 99 this period total to date
Overtime 5 7550 12 56 72 29 400 85 Total Work Hrs 92 56
Tips 1 247 56 13 479 40
Empl Id 0769312
Gross Pay $1 490 25 14 838 59
2000 A DP, LLC

Statutory
Federal Income Tax −113 94 842 66
Social Security Tax − 92 40 910 29
Medicare Tax −21 61 212 90

Tips −1 247 56 12 123 99


Uniform Cr −214 47

Uniform Cr +14 31
Net Pay $29 05
Checking −29 05

Net Check $0 00

Your federal taxable wages this period are


$1 490 25

PAPPAS RESTAURANTS INC Advice number: 00000391491


13939 NORTHWEST FREEWAY Pay date: 10/03/2018
HOUSTON TX 77040
713−869−0151

Deposited to the account of account number transit ABA amount


BRISELLE C NICHOLAS xxxxxxxxxxxxx9632 xxxx xxxx $29 05

NON−NEGOTIABLE