CO. FILE DEPT. CLOCK VCHR. NO.

W44 014444 129900 879 0000316570 1

Earnings Statement
069-0066
Period Beginning: 08/28/2023
VISUAL-I ACCOUNTING SOLUTIONS Period Ending: 09/09/2023
1366 Katy Fwy Pay Date: 09/15/2023
Houston, Texas

Filing Status: Single/Married
Exemptions/Allowances:
Federal: Tax blocked
CARMENCEITA WILLIAMS
filing separately 7607 LEATHER MARKET ST
HOUSTON, TX 77064

rate hours this period year to date Excluded from federal taxable wages
Regular 34 2000 60 00 2,052 00 38 988 00
Double Time 50 3999 20 73 1,044 15 19 838 85 Your federal taxable wages this period are
Overtime 6 685 49 $3 096 15

d
Holiday O/T 790 41
Other Benefits and
Holiday Pay 542 40
this period total to date
Holiday Prem 46 14
Groupterm Life 1 38 26 22

ve
Personal Time 749 36
Personal Balnce 1 30
Vacation Pay 1 083 30
Tot Work Hours 78 73
Vaccine Bonus 80 00
Vacation Balnce 56 00
Gross Pay $3 096 15 57 213 95

YOUR COMPANY PHONE NUMBER IS 888-892-7180

Statutory
ro
Social Security Tax -186 66 3 546 54
BASIS OF PAY: HOURLY
Medicare Tax -80 27 1, 523 13
Federal Income Tax -125 12 2 377 28
LEGAL ADDR 410 TERRY AVE NORTH SEATTLE WA 98109

@ THE SHIFT PAY RATE MAY NOT DISPLAY CONSISTENTLY

pp

DUE TO CALCULATION METHOD AND ROUNDING.

Pre-Tax Dental -12 08* 229 52
Pre-Tax Medical -7 62* 144 78
Taxable Marital Status:
Pre-Tax Vision -3 69* 70 11 KY: Single
401K -98 29* 1,867 51 Exemptions/Allowances:
KY: 0
Net Pay $2 582 42
A

Checking Dep -2 582 42

Net Check $0 00

2000 A DP, LLC

VISUAL-I ACCOUNTING SOLUTIONS Advice number: 00000316570

1366 Katy Fwy Pay date: 09/15/2023
Houston, Texas

Deposited to the account of account number transit ABA amount

CARMENCEITA WILLIAMS xxxxxxxx6223 xxxx xxxx $2 582 42

NON-NEGOTIABLE