CO. FILE CENTER CLOCK VCHR. NO.

VZ6 914802 300404 11150 0000504086 1

Earnings Statement
Period Beginning: 02/19/2023
Period Ending: 03/04/2023
Pay Date: 03/10/2023

SHADIAMOND NELSON
Filing Status: Single/Married filing separately 321 ARAPAHO DR
Exemptions/Allowances:
Federal: Standard Withholding Table
ACWORTH GA 30102

rate hours this period year to date

Other Benefits and
Regular 33 5500 55 45 1,860 35 14 904 13
this period total to date
Bereavement 834 55
Totl Hrs Worked 55 45
Vacation 421 30
Gross Pay $1,860 35 $16 159 98

Statutory Taxable Marital Status:

Federal Income Tax -125 33 1,509 18 GA: Single
Exemptions/Allowances:
Social Security Tax -86 58 765 62 GA: 0
Medicare Tax -40 89 778 89
GA State Income Tax -54 62 1,215 62

Net Pay $1,552 93

Checking 2 -1,552 93
Net Check $0 00

Your federal taxable wages this period are $1,860 35

Your GA taxable wages this period are $1,860 35

2000 ADP, Inc.

Advice number: 00000504086

Pay date: 03/10/2023

Deposited to the account of account number transit ABA amount

SHADIAMOND NELSON xxxxxx2253 xxxx xxxx $1,552 93

NON-NEGOTIABLE