Earnings Statement:

CASEY'S RETAIL CO Period Beginning: 8/8/2021

ONE SE CONVIENCE BLVD Period Ending: 8/22/2021
ANKENY. IA 50021 Pay Date: 8/27/2021
515-965-6100
ROBERT DEMEULMEESTER
5603 N 39TH CIR
OMAHA NE 68111
b Aug 27
Earnings rate hours this period year to date Important Notes
Regular 13.00 61.69 801.97 12,816.00 BASIS OF PAY: HOURLY
Overtime 0.00
Bonus 50.00 Additional Tax Withholding Information
Taxable Marital Status:
Gross Pay $801.97 6,706.00 NE: Single
Exemptions/Allowances:
NE: 1
Deductions Statutory
Federal Income Tax -50.51 808.16
Social Security Tax -49.72 795.52
Medicare Tax -11.63 186.08
NE State Income Tax -19.50 312.00

Other
Addif Emply -1.70 27.20

Net Pay $668.91

Checking -668.91

Net Check $0.00