Citizens National Bank

,
Mabes Enterprises, Inc
Check Date Check No.
123 W. Calhoun
11/10/2022 552226
Macomb, IL 61455

Amount
$518.92
***** PAY STUB -- NON-NEGOTIABLE ***** Payroll Account

********** VOID VOID VOID ********

Div.: 0 / Dept.: 3
Pay To The
Order Of
Sherrie L. Dixon
600 North St ********** VOID VOID VOID ********
Hannibal, MO 63401 Authorized Signature
11/8/2022 11:14:50 AM

***** PAY STUB -- NON-NEGOTIABLE *****

Company Name Mabes Enterprises, Inc Processed By CPU, Inc.
Address 123 W. Calhoun Macomb, IL 61455 (309) 333-5696
DBA
Employee Name Sherrie L. Dixon UCI MO Tax Status Dep Flat E/F % E/F
Company No. 6028 Payroll No. 23 Pay Freq. Bi-Weekly Federal Single (4a) 0.00
Employee No. 5699 Division No. 0 Start Date 10/24/2022 (2c) (3) 0.00 (4b) 0.00
SSN No. *******4603 Home Dept. No. 3 End Date 11/06/2022 (W) MO Single 0
Check No. 552226 Net Pay 518.92 Check Date 11/10/2022 (R)

Earnings Taxes Deductions & Memos

Dept. Current Year-to-Date Tax Current YTD Deduction Current YTD
No. Description Rate Hours Amount Description Hours Amount Description Amount Amount Description Amount Amount
3 0-Regular Pay 11.1500 55.66 620.61 0-Regular Pay 96.38 1,074.64 Federal WH 12.25 12.25 41-Health Ins-After 39.96 79.92
OASDI 38.48 66.63
Medicare 9.00 15.58
MO: State WH 2.00 2.00
Employee Totals 55.66 620.61 Total YTD: 96.38 1,074.64 61.73 96.46 39.96 79.92

Company Memo: Private Memo: