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Employee #
1
Pay Date
2026-06-09
Reporting Period
06/01/2026-06/07/2026
SSN
Earnings Statement
Name & Address
Income
Gross Earnings
Rate
Hours
Current Pay
458.80
STATUTORY DEDUCTIONS
FICA-MEDICARE
6.65
FICA-SOCIAL SECURITY
28.45
Federal Tax
19.25
YEAR-TO-DATE
YTD GROSS
11,011.20
YTD DEDUCTIONS
1,304.40
YTD NET PAY
9,706.80
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO
73430
.CHECK DATE
06/09/2026
Pay
**
404
** DOLLARS AND
45
** CENTS
To the order of:
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