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CO. FILE DEPT. CLOCK VCHR. NO.

X4J 003876 295024 0000070648 1


Earnings Statement
DIAL SILVERCREST CORP Period Beginning: 01/29/2023
11506 NICHOLAS ST Period Ending: 02/11/2023
OMAHA, NE 68154 Pay Date: 02/17/2023

AMERICA IRIDI FERNANDEZ PERFECTO


Filing Status: Single/Married filing separately 2712 E STREET
Exemptions/Allowances:
OMAHA NE 68107
Federal: Standard Withholding Table

rate hours this period year to date Other Benefits and


Regular 18 2500 80 00 1 460 00 4 244 77 this period total to date
Overtime 27 3750 13 85 379 14 678 35 Max Elig/Comp 1 839 14 5 220 60
WORK HOL 297 48 Rest For You Ba 4 00
Gross Pay $1 839 14 5 220 60
Totl Hrs Worked 93 85

Statutory
BASIS OF PAY: HOURLY
Federal Income Tax -148 31 409 30
Social Security Tax -114 03 323 68
Medicare Tax -26 67 75 70 Taxable Marital Status:
NE State Income Tax -83 39 231 20 NE: Single
Exemptions/Allowances:
NE: 0
Immediate Pay -347 00
Miscellaneous -1 288 54

Net Pay $1 119 74


Checking 1 -1 119 74

Net Check $0 00

Your federal taxable wages this period are


$1 839 14

2000 ADP, Inc.

DIAL SILVERCREST CORP Advice number: 00000070648


11506 NICHOLAS ST Pay date: 02/17/2023
OMAHA NE 68154

Deposited to the account of account number transit ABA amount


AMERICA IRIDI FERNANDEZ PERFECTO xxxxxxxxx3086 xxxx xxxx $1 119 74

NON-NEGOTIABLE

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