CO. FILE CENTER CLOCK VCHR. NO.

VZ6 931011 300412 11156 0000064126 1

Earnings Statement
Period Beginning: 01/22/2023
Period Ending: 02/04/2023
Pay Date: 02/10/2023

AKILAH GREEN
Filing Status: Single/Married filing separately 2333 DODSON DR
Exemptions/Allowances:
Federal: Standard Withholding Table
ATLANTA GA 30344

rate hours this period year to date

Other Benefits and
Regular 33 5500 59 49 1,995 89 4 781 89
this period total to date
Gross Pay $1,995 89 $4 781 89
Totl Hrs Worked 59 49

Statutory
Federal Income Tax -27 65 53 63
Social Security Tax -53 97 182 73 Taxable Marital Status:
Medicare Tax -20 28 55 60 GA: Single
Exemptions/Allowances:
GA State Income Tax -52 19 138 72 GA: 0

Dental -16 71* 16 71

Medical -80 20* 80 20

Net Pay $1,744 89

Checking 1 -1,744 89

Net Check $0 00

Excluded from federal taxable wages

Your federal taxable wages this period are $1,995 89
Your GA taxable wages this period are $1,995 89

2000 ADP, Inc.

Advice number: 00000064126

Pay date: 02/10/2023

Deposited to the account of account number transit ABA amount

AKILAH GREEN xxxxx7998 xxxx xxxx $1,744 89

NON-NEGOTIABLE