7/21/2021 Pay Stub

WELLSTAR HEALTH SYSTEM

Number 4129078
793 Sawyer Rd

Check Date 07/01/2021

Marietta, GA 30062 United States of America
 

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Pay to the order of

Antionette Perrian Net Pay  428.37
201 Butler Industrial Drive Apt.812  
Dallas, GA 30132 NON-NEGOTIABLE
US
 

Name Social Number Employee Number Process Level Department Period End

Antionette Perrian 0145 76488 230 20035 06/26/2021

 

Summary
Description Hours Current Year to Date

Total Gross 82.00 676.86 9041.77

Total Deductions   248.49 3235.96

Total Net   428.37 5805.81

Earnings
Description Hours Rate Current Year to Date

Education       173.60

Holiday Differential       109.55

MyCare Rewards Grant       500.00

PTO Unpaid        

Paid Time Off 9.00 14.00 126.00 916.58

Regular 36.00 14.00 504.00 6685.00

Shift 2 Differential 11.85 0.00 13.05 172.94

Shift 3 Differential 24.15 0.00 33.81 465.29

Unscheduled Absence 1.00      

Weekend Differential       18.81

Total 82.00   676.86 9041.77

Taxes
Description Current Year to Date

Federal Tax   40.63

Georgia State Tax    

Medicare Tax-Employee 8.77 117.53

OASDI Tax-Employee 37.50 502.55

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7/21/2021 Pay Stub
Total 46.27 660.71

Pretax Deductions
Description Current Year to Date

403B-PCT : M: EE 54.15 717.74

Dental Choice - EE 19.46 252.98

Medical Premier PPO 49.13 638.69

Vision - Essential - EE 3.42 44.46

Total 126.16 1653.87

Aftertax Deductions
Description Current Year to Date

Meals 12.99 94.51

ROTH - PCT : M : EE 27.07 358.87

Vol Permanent Life - EE 36.00 468.00

Total 76.06 921.38

Company Deductions
Description Current Year to Date

403B - PCT : M: CO 9.04 119.78

HSA Employee Only - Company   1000.00

ROTH - PCT : M : CO 4.50 59.66

Total 13.54 1179.44

Auto Deposit Distributions

Routing Account Description Amount

xxxxx0013 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx1549 JP Morgan Chase / IL 428.37

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