CO. FILE CENTER CLOCK VCHR. NO.

VZ6 920252 300404 11150 0000524139 1

Earnings Statement
Period Beginning: 12/11/2022
Period Ending: 12/24/2022
Pay Date: 12/30/2022

TAMYAH M SPAN
Filing Status: Single/Married filing separately 3207 WESTGATE DR.
Exemptions/Allowances:
Federal: Standard Withholding Table
ALBANY GA 31721

rate hours this period year to date

Other Benefits and
Regular 28 5500 56 88 1,623 92 11 365 00
this period total to date
Gross Pay $1,623 92 $ 11 365 00
Totl Hrs Worked 56 88

Statutory
Federal Income Tax -12 17 80 35
Social Security Tax -50 98 208 63 Taxable Marital Status:
Medicare Tax -9 24 48 79 GA: Single
Exemptions/Allowances:
GA State Income Tax -30 15 95 95 GA: 0
Net Pay $1,521 38
Checking 1 -1,521 38
Net Check $0 00

Your federal taxable wages this period are $1,623 92

Your GA taxable wages this period are $1,623 92

2000 ADP, Inc.

Advice number: 00000524139

Pay date: 12/30/2022

Deposited to the account of account number transit ABA amount

TAMYAH M SPAN xxxx0890 xxxx xxxx $1,521 38

NON-NEGOTIABLE