CO. FILE DEPT. CLOCK VCHR. NO.

QPK 275868 118100 3G21 0000246621 1

Earnings Statement
AMAZON.COM SERVICES, LLC Period Beginning: 05/07/2023
ATTN: AMAZON PAYROLL Period Ending: 05/13/2023
202 WESTLAKE AVE N Pay Date: 05/19/2023
SEATTLE, WA 98109

JONATHAN M GUTIERREZ
Filing Status: Single/Married filing separately 2475 PASEO DE LAS AMERICAS
Exemptions/Allowances:
Federal: Standard Withholding Table
4031
SAN DIEGO CA 92154

Social Security Number: XXX-XX-5477

rate hours this period year to date Other Benefits and
Regular 16 5000 13 07 215 66 2 075 90 this period total to date
Overtime 24 7500 07 1 73 81 67 Personal Balnce 1 89
Rest/Meal Prem 16 5000 1 00 16 50 33 00 Tot Work Hours 13 14
Personal Time 96 20
Gross Pay $233 89 2 286 77
YOUR COMPANY PHONE NUMBER IS 888-892-7180

Statutory BASIS OF PAY: HOURLY

Social Security Tax -14 50 141 77
Medicare Tax -3 39 33 15 IF YOU HAVE PAY RELATED QUESTIONS, VISIT
CA SDI Tax -2 10 20 58 HTTPS://ATOZ.AMAZON.WORK AND CLICK RESOURCES.
Federal Income Tax 47 55
CA State Income Tax 14 22
Taxable Marital Status:
CA: Single
Exemptions/Allowances:
401K-Trad 41 53 CA: 0
Net Pay $213 90
Checking Acct 1 -213 90

Net Check $0 00

Your federal taxable wages this period are $233 89

2000 ADP, Inc.

AMAZON COM SERVICES LLC Advice number: 00000246621

ATTN: AMAZON PAYROLL Pay date: 05/19/2023
202 WESTLAKE AVE N
SEATTLE WA 98109

Deposited to the account of account number transit ABA amount

JONATHAN M GUTIERREZ xxxxxxxx4774 xxxx xxxx $213 90

NON-NEGOTIABLE