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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
281−495−0965

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 19 82 96 80 425 36 Total Work Hrs 99 82
Tips 1 547 56 13 779 40
Empl Id 0769312
Gross Pay $1 814 76 16 642 75
2000 A DP, LLC

Statutory
Federal Income Tax −138 76 867 48
Social Security Tax − 92 40 930 41
Medicare Tax −21 61 217 61

Tips −1 547 56 12 691 19


Uniform Cr −214 47

Uniform Cr +14 31
Net Pay $28 74
Checking −28 74

Net Check $0 00

Your federal taxable wages this period are


$1 814 76

PAPPAS RESTAURANTS INC Advice number: 00000391491


13939 NORTHWEST FREEWAY Pay date: 10/03/2018
HOUSTON TX 77040
281−495−0965

Deposited to the account of account number transit ABA amount


BRISELLE C NICHOLAS xxxxxxxxxxxxx9632 xxxx xxxx $28 74

NON−NEGOTIABLE

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