CCS Denver INC 700 Colorado Blvd Denver CO 80206 (303)733-8997

General 142
Date Location Pay Rate OT Rate DT Rate In Out Reg OT XMPT
05/16/23 SCL Health - SJH Midtown
$17.29 6:25p 11:35p 5.17
05/17/23 SCL Health - SJH Midtown
$17.29 6:28p 11:44p 5.27
05/18/23 SCL Health - SJH Midtown
$17.29 6:30p 11:41p 5.18
05/19/23 SCL Health - SJH Midtown
$17.29 6:34p 11:39p 5.08
05/22/23 SCL Health - SJH Midtown
$17.29 6:20p 11:43p 5.38
05/23/23 SCL Health - SJH Midtown
$17.29 6:34p 11:57p 5.38
05/24/23 SCL Health - SJH Midtown
$17.29 6:23p 7:21p 0.97
05/25/23 SCL Health - SJH Midtown
$17.29 6:39p 11:42p 5.05
05/26/23 SCL Health - SJH Midtown
$17.29 6:29p 11:21p 4.87
05/29/23 SCL Health - SJH Midtown
$17.29 0.00 5.25
05/30/23 SCL Health - SJH Midtown
$17.29 6:16p 11:35p 5.32
05/31/23 SCL Health - SJH Midtown
$17.29 6:23p 11:58p 5.58
Total 53.25 5.25

Earnings Taxes
Type Taxable Non Tax YTD Type Taxes YTD
Hours/Sal Pd 1,011.46 6,689.68 FICA 62.71 414.76
Total 1,011.46 0.00 6,689.68 Medicare 14.67 97.00
CO W/H 36.00 237.00
CO Family and Medic 4.55 30.09
Denver OPT 5.75 23.00
Total 123.68 801.85

Pay Type
Hourly

Deductions
Type Taxable Non Tax YTD
Union Dues - Pt 22.76 112.45
Union Initiatio 44.00
Total 22.76 0.00 156.45
Current YTD
Fica Taxable: $1,011.46 $6,689.68
Federal Taxable: $1,011.46 $6,689.68

Check Date Pay Period Gross Wages Taxes Other Deducts Net Pay
06/07/2023 05/16/23 thru 05/31/23 $1,011.46 $123.68 $22.76 $865.02
Emp # Employee Name Social Sec # Fed Exempts Status Check #
44487 Liliana Lopez Sanchez ***-**-7198 $12500 Single 415590

CCS Facility Services

PAYROLL
1165 South Pennsylvania Street, Suite 200 Check Number
Emp. No.: 44487 Denver, Colorado 80210
415590
Date
06/07/2023

Liliana Lopez Sanchez

14470 E 13th Ave Lot B20
Aurora CO 80011-3715
NON NEGOTIABLE