Professional Documents
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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
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
Pay to the
NATALIE JIGGETTS
order of
NON-NEGOTIABLE