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Big Lots Stores Inc.

614/278-6800 4900 E Dublin Granville Rd Columbus, OH 43081-7651 10 WK3-Weekly Hourly Payroll 3


SHELBY RENEE COX Emplid : 1811245 Tax Data: Federal State Advice Number: 16024685
110 AUBURN RD Deptid : 50518 Marital Sts: S N Advice Date: 04/19/2019
AUBURNDALE, FL 33823 Location : 518 Exemptions: 3 0 Pay Begin Date: 04/07/2019
Addl. Amt: Pay End Date: 04/13/2019
HOURS AND EARNINGS TAXES
-------------- Current --------------- ------------ YTD -------------
Description Rate Hours Earnings Hours Earnings Description Current YTD
Regular Pay 9.50 11.27 107.07 13.27 126.07 Fed Withholdng 0.00 0.00
Fed MED/EE 1.55 1.83
Fed OASDI/EE 6.64 7.82

TOTAL: 11.27 107.07 13.27 126.07 8.19 9.65


BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS TAXABLE BENEFITS
Description Current YTD Description Current YTD Description Current YTD

TOTAL: 0.00 0.00 0.00 0.00 0.00 0.00


TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
Current 107.07 107.07 8.19 0.00 98.88
YTD 126.07 126.07 9.65 0.00 116.42

Big Lots Stores Inc.


4900 E Dublin Granville Rd
Columbus, OH 43081-7651
Advice Number: 16024685
Account Type Account Number Deposit Amount
Checking 156129899779 98.88 DATE AMOUNT
04/19/2019 $98.88

To The SHELBY RENEE COX


Account 110 AUBURN RD
NON-NEGOTIABLE
Of AUBURNDALE, FL 33823
THIS IS NOT A CHECK

CA

518 50518

Big Lots Stores Inc.


4900 E Dublin Granville Rd
Columbus, OH 43081-7651
SHELBY RENEE COX
110 AUBURN RD
AUBURNDALE, FL 33823

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