IHSS Earnings Statement

Direct Deposit
99713543

DEBBIE S 1159139
Stephen Spain 002063793
12/01/2021 12/15/2021
Federal $ 0.00 $ 0.00
Timesheet # 4120937398
State $ 0.00 $ 0.00
12/16/2021 FICA $ 29.76 $ 649.62
$15.00 Medicare $ 6.96 $ 151.93
32 00 SDI/DIEC $ 5.76 $ 125.73
00 00
32 00

00 00
Dues $ 0.00 $ 223.13

COPE/PEOPLE $ 0.00 $ 60.00

$ 480.00 $ 10,237.75
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 0.00 $ 240.00
$ 480.00 $ 10,477.75
$ 437.52 $ 9,267.34 $ 42.48 $ 1,210.41