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NO 054
gda 424396 519218 15209 0000042905
Earnings Statement
Period Beginning: 08/08/2022
CONDUENT Period Ending: 08/21/2022
1434 CROSSWAYS BLVD Pay Date: 08/26/2022
CHESAPEAKE, VA 23320
NATALIE JIGGETTS
Taxable Marital Status: Single 5508 SANDPIPER LANE,
Exemptions/Allowances: 0 NORFOLK, VA 23505
Deduction Statutory
FICA Medicare - 12.29 208.93
FICA Social Security - 95.75 1,627.75
Federal Tax - 82.97 1,410.49
State Tax - 24.51 416.67
Pay to the
NATALIE JIGGETTS
order of
NON-NEGOTIABLE