The Harris Center for Mental Health and IDD Advice No 121130

9401 Southwest Freeway

Houston, TX 77074 Date Amount
1/15/2021 1,506.79

Pay One Thousand Five Hundred Six AND 79/100 DOLLARS

Bank Routing No Bank Account No Payment Amount
TO THE Krystal M Martin XXXXX8465 XXXXX5465 1,506.79
ORDER 9434 Sierra Dr
OF Houston, TX 77051
Direct Deposit Only
Non-Negotiable

The Harris Center

for Mental Health 9401 Southwest Freeway Houston, TX 77074
and IDD

Krystal M Martin (200413639) Dept615 12/27/2020-1/9/2021 1/15/2021 121130

XXX-XX-7497 DEPARTMENT PAY PERIOD PAY DATE ADVICE NO

CURRENT YEAR TO CURRENT YEAR TO

EARNINGS HRS/UNITS PAY RATE DEDUCTIONS
AMT DATE AMT DATE
50Life 0.00 1.64 1.64 Tax-Medicare 24.08 24.08
Holiday Pay 8.00 21.84 174.69 174.69 Tax-Social Security 103.00 103.00
Regular Pay 72.00 21.84 1,572.21 1,572.21 Ded-50Life 1.64 1.64
Ded-Dental 6.82 6.82
Ded-Medical 75.27 75.27
Ded-STD 22.54 22.54
Ded-Supp Life EE 3.19 3.19
Ded-Vision 5.21 5.21
21.84 1,748.54 241.75 1,506.79 1,748.54 241.75 1,506.79
PAY RATE CURRENT CURRENT DED NET PAY YTD EARNINGS YTD DED YTD NET PAY
EARNINGS