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XXX-XX-
Security
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Earnings iconEarnings
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Your 6 Pay Periods
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EARNINGS STATEMENT
SOCIAL SECURITY NUMBER:
Pay Period:
05/12/2026-05/18/2026
Invoice No.
Invoice Date
Description
Gross Amount
Discount
Net Amount
Hours
Current
Y-T-D
Current
Y-T-D
Regular-S
458.80
9,634.80
401K Match
Medicare W
6.65
139.65
Fica
28.45
597.45
Federal TAX
19.25
404.25
Check No.
78852
Totals
458.80
Net Pay
404.45
Employee #:
1
Date:
05/20/2026
Pay:
** 404 ** ** DOLLARS AND ** 45 ** cents
To the order of:
Check Date
Check number
05/20/2026
78852
Pay this amount
54.35
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