// total deduction this perio

C O . FILE DEPT. CLOCK NUMBER

SBINC 526543 103216 9234551746 0
Earnings Statement
Western Business Solutions Period ending:
10/10/2014
11808 Miracle Hills Dr. Pay date:
10/17/2014
Omaha NE 68154
Taxable Marital Status: 1
Exemptions/Allowances:
Reynaldo Ayala-Hernandez
Federal: 3, $25 Additional Tax 8200 Offenhauser Dr. Apt. 135G
State: 2
Reno, NV. 89511
Local: 1
xxx-xx-5303
Earnings rate hours this period year to date Important Notes
Regular 19.00 80.00 1,520.00 30,400.00
THIS PAY PERIOD - REGULAR - EXEMPT
Overtime 28.50 0.00 0.00 0.00
Bonus -- -- 0.00 0.00
CURRENT PAY RATE IS: $19.00 PER HOUR.
-- -- 0.00 0.00
-- 0.00 0.00
PTO HOURS: 160
Commission -- -- 0.00 0.00
HAVE A HAPPY AND SAFE HALLOWEEN!!!
30,400.00
Deductions Statutory
Federal Income Tax - 227.31 4,546.15
Social Security Tax - 94.24 1,884.80
Medicare Tax - 22.04 440.80
State Income Tax - 0.00 0.00
Local Tax / SDI - 0.00 0.00
Other
401(k) - 45.60 912.00
Medical - 23.04 460.80
Garnish -0.00 0.00
Total Deductions -366.63 -6,871.75
23,067.45
* Excluded from federal taxable wages
Western Business Solutions Payroll check number: 51746
3 2 7 2 8 3 1 0 E
11808 Miracle Hills Dr. Pay date: 10/17/2014
Omaha 68154
Pay to the
order of:
Ayala-Hernandez Reynaldo
This amount:
1,153.37
NATIONAL BANK
AUTHORIZED SIGNATURE
STREET ADDRESS
VOID VOID VOID
CITY STATE ZIP
VOID AFTER 90 DAYS
001379 1220004964040110157
DIRECT DEPOSIT - DO NOT CASH - THIS IS NOT A CHECK
HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT.
Net Pay
Gross Pay