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Sippin' Snacks Check#

3160 Skillman Avenue Date:_________________


Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________| $____________
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________ ________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID Check No. Pay Period Pay Date
Insert Name xxx-xx-xxxx ###### ###### Dates Date
Income Rate Hours Current TotDeductions Current Total Year-To-Date
Gross Wages $$$$ #### $$$$ FICA Med Tax $$$$ $$$$
FICA SS Tax $$$$ $$$$
FED Tax $$$$ $$$$
NY ST Tax $$$$ $$$$

YTD Gross YTD Decuctions YTD Net Pay Total Deductions Net Pay
$$$$ $$$$ $$$$ $$$$ $$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$
Sippin' Snacks
3160 Skillman Avenue
Oceanside, NY 11573

Pay To The
Order Of:________________________________________________________|
__________________________________________________________________Dollars

VE Bank
New York, NY 10023

Memo:______________________________________________

|:000000000|: 12345678910|| 123

Sippin' Snacks, 3160 Skillman Avenue, 11572


Employee Name Social Sec. Employee ID
Insert Name xxx-xx-xxxx ######
Income Rate Hours Current TotDeductions
Gross Wages $$$$ #### $$$$ FICA Med Tax
FICA SS Tax
FED Tax
NY ST Tax

YTD Gross YTD Decuctions YTD Net Pay Total


$$$$ $$$$ $$$$ $$$$
Check#
Date:_________________

$____________
_________________Dollars

________________________

123

Check No. Pay Period Pay Date


###### Dates Date
Current Total Year-To-Date
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$
$$$$ $$$$

Deductions Net Pay


$$$$ $$$$

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