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CO. FILE DEPT. CLOCK VCHR. NO. 070 BUQ 003251 000003 0000040053 2
CO.
FILE
DEPT.
CLOCK
VCHR. NO.
070
BUQ
003251
000003
0000040053
2

Earnings

Statement

THE TOWBES GROUP INC

Period

Beginning:

01/06/2017

PO BOX 20130

Period

Ending:

01/23/2017

SANTA BARBARA, CA 93120

Pay

Date:

01/31/2017

Taxable

Marital Status:

Married

Exemptions/Allowances:

Federal:

4

CA:

1

Social Security

Number:

XXX-XX-8803

rate hours this period
rate
hours
this
period

year

to

date

MERVILYN

HERNANDEZ

1053

CASITAS

PASS

ROAD

#103

CARPINTERIA

CA

93013

Other

Benefits

and

#103 CARPINTERIA CA 93013 Other Benefits and Perform Incent 1 357 00 1 357 00 this

Perform

Incent

1

1

357

357 00

00

1

35700

357 00

00

this period total to date
this
period
total
to
date

Regular

 

4

74

Er74 639

639

74 Er 639

Ltd Class

2

10

68Regular   4 74 Er 639 Ltd Class 2 10

Mgr

Mgr

Apt Rent

 

1

00332

332

00 332

125

Er Dental

13

48Mgr Apt Rent   1 00 332 125 Er Dental 13

 
Gross Pay 1 357 00
Gross Pay
1
357
00

7

328

74328

328 74

125

Er Health

551

64  Gross Pay 1 357 00 7 328 74 125 Er Health 551

 

Sick

Hrs

112

00  Sick Hrs 112

Statutory
Statutory
 

Vacation

Hrs

154

05Statutory   Vacation Hrs 154

 

Federal

Social

Income

Security

Tax

Tax

 

89318 525 57 84 352 27 14

318

525 5789 318 84 352 27 14

89 318 525 57 84 352 27 14

8489 318 525 57 352 27 14

352 2789 318 525 57 84 14

14

89 318 525 57 84 352 27 14
 

Medicare

CA State

Tax

Income

Tax

1938 195 35 82 67 49 130

38

195 3519 38 82 67 49 130

8219 38 195 35 67 49 130

67

19 38 195 35 82 67 49 130
19 38 195 35 82 67 49 130

4919 38 195 35 82 67 130

130

CA SUI/SDI

Tax

12 63 21 12

12

6312 21 12

21

12 63 21 12

12

 
 

401K

Ee Contrib

 
81 42*

81

81 42*

42*

439 72

439 72

Mgr

Apt

Apt

Apt

Rent

1

00332

332

00 332

125

Dental

 

22

22 50

50

125

Medical

75

75 88

88

125

Medical

Fsa

216

216 66

66

Net Pay 710 18
Net Pay
710 18
 

Dd Checking

 
Dd Checking   710 18 4 023 29

710

710 18

18

4

02329

023 29

29

Net Check 0 00
Net Check
0
00

*

Excluded from federal taxable wages

Your

$1

federal

580 00 * Excluded from federal taxable wages Your $1 federal 275 THE TOWBES taxable wages

00 * Excluded from federal taxable wages Your $1 federal 58 275 THE TOWBES taxable wages

275

THE

TOWBES

taxable

wages

GROUP

INC

this period

are

Advice number:

00000040053

wages GROUP INC this period are Advice number: 00000040053 2000 A DP, LLC PO BOX 20130

2000 A DP,

LLC

PO BOX 20130 Pay date: 01/31/2017 SANTA BARBARA CA 93120 Deposited to the account of
PO BOX
20130
Pay
date:
01/31/2017
SANTA BARBARA
CA 93120
Deposited
to the account
of
account
number
transit
ABA
amount
MERVILYN
HERNANDEZ
xxxxxx8989
xxxx
xxxx
$710
18
NON-NEGOTIABLE