Earnings Statement 047-0045 PACKERS SANITATION SERVICES, LTD., LLC Period Beginning: 12/03/2018 3681 PRISM LANE Period Ending: 12/09/2018 KIELER, WI 53812 Pay Date: 12/14/2018 888-871-6335
Taxable Marital Status: Single ELIZABETH M HERNANDEZ
Exemptions/Allowances: 503 W 8TH ST TRLR D Federal: 3 IA: 3 STORM LAKE IA 50588
rate hours this period year to date Other Benefits and
Regular 895 20 40 00 895 20 42 074 40 this period total to date Special 179 04 5 729 28 Hours Worked 40 00 Vacation 2 685 60 Vacation Bal 80 00 Gross Pay $1 074 24 50 489 28
YOUR COMPANY PHONE NUMBER IS 888-871-6335
Statutory Federal Income Tax -84 78 3 920 07 CONFIRM YOUR NAME/ADDRESS FOR 2018 W2S. LOG ONTO Social Security Tax -64 95 3 047 66 SELF-SERVICE OR CALL PSSI AT 608-568-3413 TO UPDATE Medicare Tax -15 19 712 76 IA State Income Tax -49 75 2 262 35
Dental Pre Tax -5 00* 250 00
Medical Pre Tax -20 00* 1 000 00 Vision -1 67* 83 50 Expense Reimb -191 25