BLUE MINDS CORPORATION 1812-5696

Payrolls by Paychex, Inc.

1815 Hembree Road ORG1:200 CLEANERS
Suite 313
Alpharetta GA 30009 EE ID: 342688 DD
Payrolls by Paychex, Inc.

SAMANTHA N MONDRAGON GARCIA

824 CHATTAHOOCHEE CIRCLE NON-NEGOTIABLE
ROSWELL GA 30075

NON-NEGOTIABLE

PERSONAL AND CHECK INFORMATION EARNINGS BASIS OF DESCRIPTION HRS/UNITS RATE CURRENT ($) YTD YTD ($)
SAMANTHA N MONDRAGON GARCIA PAY HRS/UNITS
824 CHATTAHOOCHEE CIRCLE Prep Hours 1.3300 9.0000 11.97 7.3400 66.06
ROSWELL, GA 30075 Regular Hours 19.9000 15.0000 298.50 128.2500 1923.75
Employee ID: 342688 Training Leader Pay 45.00
Travel Hours 4.0200 9.0000 36.18 26.5100 238.59
Home Department: 200 CLEANERS Overtime Hours 0.6400 14.40
Tips 40.00 200.02
Pay Period: 12/03/23 to 12/09/23 Total Hours 25.2500 162.7400
Check Date: 12/15/23 Check #: 3331 Total Hrs Worked 25.2500
Gross Earnings 386.65 2487.82
NET PAY ALLOCATIONS
WITHHOLDIN DESCRIPTION FILING STATUS CURRENT ($) YTD ($)
DESCRIPTION THIS PERIOD ($) YTD ($) GS
Check Amount 0.00 219.69 Social Security 23.97 154.24
Chkg 050 335.09 1912.23 Medicare 5.60 36.07
NET PAY 335.09 2131.92 Fed Income Tax SMS 12.03 95.61
GA Income Tax S001 9.96 69.98

TOTAL 51.56 355.90

NET PAY THIS PERIOD ($) YTD ($)

335.09 2131.92

Payrolls by Paychex, Inc.

0944 1812-5696 Blue Minds Corporation • 1815 Hembree Road • Suite 313 • Alpharetta GA 30009 • (678) 691-9590