Employee Statement of Earnings - Payroll Help: (213)241-2570 or payrollsupport@lausd.

net Tax Exemptions

Name EE ID Payroll Period Pay Date Payroll Payment PS-Area FED / M / Exemptions = 00
MAZARIEGOS, SHIRLEY 1167104 07/01/22 To:07/31/22 08/05/22 Cert DD*1679 UL CA / M / Exemptions = 01

Payments Per End SB PS-Grp PL PERNR Cost Ctr Rate Hours Gross Leave HRS

Full Pay Illness 60.90

CURRENT PAY * Half Pay Illness 539.10
C-Basis Salary 07/31/22 C 21 02 01167104 1811001 4,076.34

District Paid Benefits

Kaiser HMO (A) ER 1,178.34

Western Dental Plus 24.98
Employee Basic Life 1.18
District Paid STRS 778.58

Annualized Status

Earned Amt 0.00

Paid Amt 4,076.34
Difference 4,076.34-

Hours Summary

Contract Hrs 1,224

Remaining Hrs 1,224

Pre-Tax Deductions Current YTD Post-Tax Deductions Current YTD Totals Current YTD

STRS EE 415.99- 3331.28- UTLA - Member Dues 99.84- 599.04- Gross 4,076.34 32,883.66
UTLA - Premiums 1.67- 11.69- Imputed Income 0.00 0.00
Pre-Tax Deduct 415.99- 3,331.28-

Taxable Earnings 3,660.35 29,552.38

FED Withholding 150.20- 1,354.79-
FED EE Medicare 59.10- 476.81-
CA Withholding 90.30- 811.90-

Post-Tax Deduct 101.51- 610.73-

Non-Tax Reimburs 0.00 0.00

Total Pre-Tax: 415.99- 3,331.28- Total Post-Tax: 101.51- 610.73- Total Net Pay 3,259.24
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Los Angeles Unified School District 333 South Beaudry Ave, Los Angeles CA 90017