CO.

FILE

DEPT.

CLOCK

VCHR. NO.

8LR

305486

LR1890

11 AT

0000230174 197-0002

Earnings Statement
Period Ending: Pay Date: 06/02/2012 06/08/2012

3301 RIDER TRAIL SUITE 100 EARTH CITY, MO 63045

Taxable Marital Status: Exemptions/Allowances: Federal: 4 UT: 4

Married

KALOLO AHIO 4470 S GOLDENARROW COVE WEST VALLEY CITY, UT 84128

Social Security Number: rate hours

XXX-XX-5556 this period year to date

Other Benefits and

this period total to date

Regular Overtime Holiday Pay Misc Earnings Shift Premium

21 32 21 21 0

4150 1225 4150 4150 4000

27 75 1 50 12 00 50 25

594 48 256 10 0

27 18 98 71 10

Gross Pay Statutory

Federal Income Tax Social Security Tax Medicare Tax UT State Income Tax

910 24

18 778 04 7 020 23 591 62 63 01 6 20 26 459 10

Holiday Hrs Misc Hrs Shift Prem Hrs Ytd Prem Accru

28 3 15 12

00 00 50 00

51 38 13 35

84 02 13 72

2 066 15 1 106 45 381 99 1 161 55

Ddchk 2 Health Insuranc Uniform Clean Un Dues Bct

763 61 5 00* 2 92

21 355 115 65 207

25 00 09 62

Net Pay

0 00

* Excluded from federal taxable wages

Your federal taxable wages this period are $905 24

2000 A DP, Inc

Advice number:
Pay date:

00000230174
06/08/2012

Deposited

to the account of

account number

transit

ABA

amount

KALOLO AHIO

xxxxxxxx0619

xxxx xxxx

$763 61

NON-NEGOTIABLE