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CO. FILE DEPT. CLOCK VCHR.

NO 054
gda 424204 519218 15209 0000042728
Earnings Statement
Period Beginning: 06/27/2022
CONDUENT Period Ending: 07/10/2022
1434 CROSSWAYS BLVD Pay Date: 07/15/2022
CHESAPEAKE, VA 23320
NATALIE JIGGETTS
Taxable Marital Status: Single 5508 SANDPIPER LANE,
Exemptions/Allowances: 0 NORFOLK, VA 23505

Other Benefits and


Earnings Rate Hours Amount Year To Date Information This Period Year To Date

Regular 24.00 80.00 1,920.00 25,438.08


Overtime 36.00 10.02 360.72 4,997.05
Gross Pay $2,280.72 30,435.13

Deduction Statutory
FICA Medicare - 12.29 172.06
FICA Social Security - 95.75 1,340.50
Federal Tax - 82.97 1,161.58
State Tax - 24.51 343.14

Net Pay $2,065.20


Check -2,065.20
Net Check $0.00

CONDUENT Advice Number: 0000042728


1434 CROSSWAYS BLVD Pay Date: 07/15/2022
CHESAPEAKE, VA 23320

Pay to the
NATALIE JIGGETTS
order of

This amount: TWO THOUSAND SIXTY-FIVE AND 20/100 DOLLARS $2,065.20

NON-NEGOTIABLE

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