CO FILE DEPT. CLOCK VCHR. NO.

120
B7H 183911 AL 00002112803 1 Earnings Statement

Period Beginning: 08/24/2023

HOUSE OF BEAUTY ON MAIN LLP Period Ending: 09/06/2023
219 W MAIN ST. Pay Date: 09/08/2023
PLAINFIELD, IN 46168

Social Security Number: XXX-XX-3423 BREA JONES

Taxable Marital Status: Single 756 CENTRAL PARK CT. APT 140
Exemptions/Allowances: 0 PLAINFIELD, IN 46168
Other Benefits and
Earnings Rate Hours This period Year to date Information This period Total to date
Group Term Life 0.00 0.00
Regular 32.75 80.00 2,620.00 44,540.00
Overtime 0.00
Bereavement 0.00
Holiday 0.00
Additional Tax Withholding Information
Otvic 0.00
Exemptions/Allowances:
Shift Diff 0.00
TX:
Shift Diff Ot 0.00
Vacation 0.00
Vic Bonus 0.00
Gross Pay $2,620.00 44,540.00

Deductions Statutory
Federal Income Tax -212.20 3,544.40
Social Security Tax -110.45 1,819.19
Medicare Tax -28.00 496.20
State Income Tax -59.30 1,067.36
Other
Ad&D -5.24 81.17
Dental -4.25 47.95
Optional Life -0.00 0.00
Vision -2.27 29.89
Vol Hospital -0.00 0.00
Net Pay -2,198.29
Check -0.00 0.00
Net Check -2,198.29

HOUSE OF BEAUTY ON MAIN LLP Advice number: 0000024689753

219 W MAIN ST. Pay date: 09/08/2023
PLAINFIELD, IN 46168 Social Security Number: XXX-XX-3423

Deposited to the account of Account number Transit ABA Amount

BREA JONES xxxxxx0983 xxxx xxxx $2,198.29

NON-NEGOTIABLE