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Employee #
1
Pay Date
2026-04-25
Reporting Period
04/17/2026-04/23/2026
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
33760
.CHECK DATE
04/25/2026
Pay
**
404
** DOLLARS AND
45
** CENTS
To the order of:
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