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EmployeeXXX-XX-
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EarningsYour 6 Pay Periods
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Paystub DetailsImportant Notes
Additional DetailsExemptions
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Employee #
1
Pay Date
2026-04-20
Reporting Period
04/12/2026-04/18/2026
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
7,799.60
YTD DEDUCTIONS
923.95
YTD NET PAY
6,875.65
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67235
04/20/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
04/13/2026
Reporting Period
04/05/2026-04/11/2026
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
7,340.80
YTD DEDUCTIONS
869.60
YTD NET PAY
6,471.20
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67175
04/13/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
04/06/2026
Reporting Period
03/29/2026-04/04/2026
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
6,882.00
YTD DEDUCTIONS
815.25
YTD NET PAY
6,066.75
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67131
04/06/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/30/2026
Reporting Period
03/22/2026-03/28/2026
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
6,423.20
YTD DEDUCTIONS
760.90
YTD NET PAY
5,662.30
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67097
03/30/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/23/2026
Reporting Period
03/15/2026-03/21/2026
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
5,964.40
YTD DEDUCTIONS
706.55
YTD NET PAY
5,257.85
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67080
03/23/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/16/2026
Reporting Period
03/08/2026-03/14/2026
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
5,505.60
YTD DEDUCTIONS
652.20
YTD NET PAY
4,853.40
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67043
03/16/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
2026-04-20
Reporting Period
04/12/2026-04/18/2026
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
7,799.60
YTD DEDUCTIONS
923.95
YTD NET PAY
6,875.65
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67235
04/20/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
04/13/2026
Reporting Period
04/05/2026-04/11/2026
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
7,340.80
YTD DEDUCTIONS
869.60
YTD NET PAY
6,471.20
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67175
04/13/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
04/06/2026
Reporting Period
03/29/2026-04/04/2026
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
6,882.00
YTD DEDUCTIONS
815.25
YTD NET PAY
6,066.75
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67131
04/06/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/30/2026
Reporting Period
03/22/2026-03/28/2026
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
6,423.20
YTD DEDUCTIONS
760.90
YTD NET PAY
5,662.30
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67097
03/30/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/23/2026
Reporting Period
03/15/2026-03/21/2026
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
5,964.40
YTD DEDUCTIONS
706.55
YTD NET PAY
5,257.85
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67080
03/23/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/16/2026
Reporting Period
03/08/2026-03/14/2026
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
5,505.60
YTD DEDUCTIONS
652.20
YTD NET PAY
4,853.40
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67043
03/16/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
2026-04-20
Reporting Period
04/12/2026-04/18/2026
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
7,799.60
YTD DEDUCTIONS
923.95
YTD NET PAY
6,875.65
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67235
04/20/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
04/13/2026
Reporting Period
04/05/2026-04/11/2026
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
7,340.80
YTD DEDUCTIONS
869.60
YTD NET PAY
6,471.20
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67175
04/13/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
04/06/2026
Reporting Period
03/29/2026-04/04/2026
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
6,882.00
YTD DEDUCTIONS
815.25
YTD NET PAY
6,066.75
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67131
04/06/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/30/2026
Reporting Period
03/22/2026-03/28/2026
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
6,423.20
YTD DEDUCTIONS
760.90
YTD NET PAY
5,662.30
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67097
03/30/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/23/2026
Reporting Period
03/15/2026-03/21/2026
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
5,964.40
YTD DEDUCTIONS
706.55
YTD NET PAY
5,257.85
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67080
03/23/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Employee #
1
Pay Date
03/16/2026
Reporting Period
03/08/2026-03/14/2026
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
5,505.60
YTD DEDUCTIONS
652.20
YTD NET PAY
4,853.40
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS ∙ DETACH AND KEEP FOR YOUR RECORDS
THIS IS NOT A CHECK.NON-NEGOTIABLE.CHECK NO.CHECK DATE
67043
03/16/2026
Pay
**
404
** DOLLARS AND 45
** CENTSTo the order of:
Pay Stub 1
2026-04-20
Pay Stub 2
04/13/2026
Pay Stub 3
04/06/2026
Pay Stub 4
03/30/2026
Pay Stub 5
03/23/2026
Pay Stub 6
03/16/2026
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