Palmer Trucks Inc

9704 E 30th St Direct Deposit Advice

Indianapolis, IN 46229
Check Date Voucher Number
December 29, 2022 42261

Direct Deposits Type Account Amount

DIRECT DEPOSIT VOUCHER Star Financial C ***8322 701.66
Bank
Total Direct Deposits 701.66
142526 20-4-811 1735 42261 39834 142526
Non
KennethNegotiable
B Cullison
po box 273
- This is not a check - Non Negotiable
110 s sampson street
kennard, IN 47351

Non Negotiable - This is not a check - Non Negotiable

Palmer Trucks Inc

Kenneth B Cullison Earnings Statement
Employee ID 1735 Fed Taxable Income 993.32 Check Date December 29, 2022 Voucher Number 42261
Location 20-4-811 Fed Filing Status M Period Beginning December 18, 2022 Net Pay 701.66
Hourly $27.00 State Filing Status M-0 Period Ending December 24, 2022 Total Hours Worked 28.23

Earnings Rate Hours Amount YTD Deductions Amount YTD

401k Match 0.00 23.89 1,039.85 401k 47.77 3,403.74
Additional 280.69 401k Loan 2 66.82 3,474.64
Commissio 17,600.00 ACC 125 201.96
Employer D 0.00 0.09 2.07 Accident Ins 3.67 187.17
ER Cost of 0.00 0.83 42.33 Colonial 125 9.38 75.04
ER Cost of 3,548.52 Critical Illness Ins 9.35
ER Cost of 0.00 11.90 606.90 Dental Ins 6.00 312.00
Holiday 1,056.00 Long Term Disability 3.57 182.07
Overtime 11,614.05 Medical Ins 135.00 7,014.00
PTO 624.00 Post Tax Supplemental 31.16 1,619.88
Regular 27.00 28.23 762.21 48,473.74 Short Term Disability 6.29 320.79
Vacation 27.00 16.00 432.00 5,725.50 Vision 2.74 142.48
Wellness I 228.78 Deductions 312.40 16,943.12
Gross Earnings 44.23 1,194.21 85,602.76 Direct Deposits Type Account Amount
Star Financial Bank C ***8322 701.66
Taxes Amount YTD Total Direct Deposits 701.66
FITW 51.53 6,089.79
IN 32.08 2,404.82 Available Plan Year
IN-HEN3 16.89 1,265.73 Time Off To Use Used
MED 15.10 1,128.93 Personal 0.00 24.00
SS 64.55 4,827.16 Vacation 56.00 104.00
Taxes 180.15 15,716.43

Palmer Trucks Inc | 9704 E 30th St Indianapolis, IN 46229 | (000) 000-0000 | FEIN: 35-1112033 | IN: 010724