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Earnings Statement DAVID CHAVEZ

Company: 0C245 - TULSA FRUIT CO


Pay Date: 12/24/2021 DBA: GOFRESH Emp #: CHDA
Period Start: 12/05/2021 1691 NORTH 161ST E AVE Dept: 94 - Lloyds Processing
Period End: 12/18/2021 TULSA OK 74116 Pay Basis: Hourly

Rate Hours/Units Current Period Year To Date


Earnings
Regular 11.00 80.00 880.00 1320.00
Overtime 16.50 25.04 413.16 586.25

Gross 105.04 1293.16 1906.25


W/H Taxes
Federal W/H(S) 89.60 102.64
Medicare 18.75 27.64
Social Security 80.18 118.19
Oklahoma State W/H(S/3) 39.00 45.00

Deductions

Net Pay 1065.63 1612.78 Voucher No. 353781231DD


Net Pay Distribution
Direct Deposit Net Check 1065.63 1612.78 A/C:8324

Voucher No. 353781231DD


GOFRESH
1691 NORTH 161ST E AVE DATE: 12/24/2021
TULSA, OK 74116

Dept: 94

Net Pay: 1065.63


One Thousand Sixty Five And 63/100 Dollars

DAVID CHAVEZ
9508 E 65TH ST APT 2106 For Record Purposes Only
TULSA, OK 74133 **NON-NEGOTIABLE**

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