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Your 6 Pay Periods
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Exemptions
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SEQ:
38006
Earnings Statement
Employee name/address
ssn
reporting period
04/24/2026-04/30/2026
pay date
2026-05-02
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
119.70
Fica - Social Security
28.45
512.10
Federal TAX
19.25
346.50
YTD Gross
8,258.40
YTD Deductions
978.30
YTD Net Pay
7,280.10
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
2026-05-02
38006
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37993
Earnings Statement
Employee name/address
ssn
reporting period
04/17/2026-04/23/2026
pay date
04/25/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
113.05
Fica - Social Security
28.45
483.65
Federal TAX
19.25
327.25
YTD Gross
7,799.60
YTD Deductions
923.95
YTD Net Pay
6,875.65
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/25/2026
37993
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37938
Earnings Statement
Employee name/address
ssn
reporting period
04/10/2026-04/16/2026
pay date
04/18/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
106.40
Fica - Social Security
28.45
455.20
Federal TAX
19.25
308.00
YTD Gross
7,340.80
YTD Deductions
869.60
YTD Net Pay
6,471.20
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/18/2026
37938
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37893
Earnings Statement
Employee name/address
ssn
reporting period
04/03/2026-04/09/2026
pay date
04/11/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
99.75
Fica - Social Security
28.45
426.75
Federal TAX
19.25
288.75
YTD Gross
6,882.00
YTD Deductions
815.25
YTD Net Pay
6,066.75
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/11/2026
37893
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37874
Earnings Statement
Employee name/address
ssn
reporting period
03/27/2026-04/02/2026
pay date
04/04/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
93.10
Fica - Social Security
28.45
398.30
Federal TAX
19.25
269.50
YTD Gross
6,423.20
YTD Deductions
760.90
YTD Net Pay
5,662.30
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/04/2026
37874
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37853
Earnings Statement
Employee name/address
ssn
reporting period
03/20/2026-03/26/2026
pay date
03/28/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
86.45
Fica - Social Security
28.45
369.85
Federal TAX
19.25
250.25
YTD Gross
5,964.40
YTD Deductions
706.55
YTD Net Pay
5,257.85
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
03/28/2026
37853
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
38006
Earnings Statement
Employee name/address
ssn
reporting period
04/24/2026-04/30/2026
pay date
2026-05-02
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
119.70
Fica - Social Security
28.45
512.10
Federal TAX
19.25
346.50
YTD Gross
8,258.40
YTD Deductions
978.30
YTD Net Pay
7,280.10
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
2026-05-02
38006
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37993
Earnings Statement
Employee name/address
ssn
reporting period
04/17/2026-04/23/2026
pay date
04/25/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
113.05
Fica - Social Security
28.45
483.65
Federal TAX
19.25
327.25
YTD Gross
7,799.60
YTD Deductions
923.95
YTD Net Pay
6,875.65
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/25/2026
37993
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37938
Earnings Statement
Employee name/address
ssn
reporting period
04/10/2026-04/16/2026
pay date
04/18/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
106.40
Fica - Social Security
28.45
455.20
Federal TAX
19.25
308.00
YTD Gross
7,340.80
YTD Deductions
869.60
YTD Net Pay
6,471.20
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/18/2026
37938
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37893
Earnings Statement
Employee name/address
ssn
reporting period
04/03/2026-04/09/2026
pay date
04/11/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
99.75
Fica - Social Security
28.45
426.75
Federal TAX
19.25
288.75
YTD Gross
6,882.00
YTD Deductions
815.25
YTD Net Pay
6,066.75
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/11/2026
37893
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37874
Earnings Statement
Employee name/address
ssn
reporting period
03/27/2026-04/02/2026
pay date
04/04/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
93.10
Fica - Social Security
28.45
398.30
Federal TAX
19.25
269.50
YTD Gross
6,423.20
YTD Deductions
760.90
YTD Net Pay
5,662.30
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/04/2026
37874
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37853
Earnings Statement
Employee name/address
ssn
reporting period
03/20/2026-03/26/2026
pay date
03/28/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
86.45
Fica - Social Security
28.45
369.85
Federal TAX
19.25
250.25
YTD Gross
5,964.40
YTD Deductions
706.55
YTD Net Pay
5,257.85
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
03/28/2026
37853
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
38006
Earnings Statement
Employee name/address
ssn
reporting period
04/24/2026-04/30/2026
pay date
2026-05-02
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
119.70
Fica - Social Security
28.45
512.10
Federal TAX
19.25
346.50
YTD Gross
8,258.40
YTD Deductions
978.30
YTD Net Pay
7,280.10
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
2026-05-02
38006
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37993
Earnings Statement
Employee name/address
ssn
reporting period
04/17/2026-04/23/2026
pay date
04/25/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
113.05
Fica - Social Security
28.45
483.65
Federal TAX
19.25
327.25
YTD Gross
7,799.60
YTD Deductions
923.95
YTD Net Pay
6,875.65
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/25/2026
37993
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37938
Earnings Statement
Employee name/address
ssn
reporting period
04/10/2026-04/16/2026
pay date
04/18/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
106.40
Fica - Social Security
28.45
455.20
Federal TAX
19.25
308.00
YTD Gross
7,340.80
YTD Deductions
869.60
YTD Net Pay
6,471.20
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/18/2026
37938
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37893
Earnings Statement
Employee name/address
ssn
reporting period
04/03/2026-04/09/2026
pay date
04/11/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
99.75
Fica - Social Security
28.45
426.75
Federal TAX
19.25
288.75
YTD Gross
6,882.00
YTD Deductions
815.25
YTD Net Pay
6,066.75
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/11/2026
37893
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37874
Earnings Statement
Employee name/address
ssn
reporting period
03/27/2026-04/02/2026
pay date
04/04/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
93.10
Fica - Social Security
28.45
398.30
Federal TAX
19.25
269.50
YTD Gross
6,423.20
YTD Deductions
760.90
YTD Net Pay
5,662.30
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
04/04/2026
37874
THIS IS NOT A CHECK
Non Negotiable
VOID
SEQ:
37853
Earnings Statement
Employee name/address
ssn
reporting period
03/20/2026-03/26/2026
pay date
03/28/2026
EMPLOYEE No.
1
Income
Rate
HRS
Current Pay
Gross Earnings
458.80
Deductions
Total TAX
YTD Total
Statutory Deductions
Fica - Medicare
6.65
86.45
Fica - Social Security
28.45
369.85
Federal TAX
19.25
250.25
YTD Gross
5,964.40
YTD Deductions
706.55
YTD Net Pay
5,257.85
Total
458.80
Deductions
54.35
Net Pay
404.45
STATEMENT OF EARNINGS AND DEDUCTIONS • DETACH AND KEEP FOR YOUR RECORDS
Pay
** 404 ** DOLLARS AND ** 45 ** CENTS
To the order of:
Check Date
Check Number
03/28/2026
37853
THIS IS NOT A CHECK
Non Negotiable
VOID
Pay Stub 1
2026-05-02
Pay Stub 2
04/25/2026
Pay Stub 3
04/18/2026
Pay Stub 4
04/11/2026
Pay Stub 5
04/04/2026
Pay Stub 6
03/28/2026
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