Name: Samantha Gonzalez R

EARNINGS STATEMENTIMPORTANT - KEEP

E-Mail
FOR YOUR RECORDS
SSN: ###-##-0438 Check Date: 08/30/19 Net: $391.97 Check # 400354274

Pay Period:8/19/2019-8/25/2019 Tax Name Taxable Grs. Tax Amt. YTD Tax
Start Date End Date Cust. Type Unit Hours Pay Rate Total Pay Federal Income $487.50 $46.00 $112.13
8/19/2019 8/25/2019 C314 Reg 0.00 39.00 $12.50 $487.50 FICA EE $487.50 $30.23 $77.31
8/19/2019 8/25/2019 C314 OT 0.00 0.00 $18.75 $0.00 MED EE $487.50 $7.07 $18.08
8/19/2019 8/25/2019 C314 CA Sick 0.00 0.00 $12.50 $0.00 CA WH $487.50 $7.35 $16.71
CALIFORNIA SD $487.50 $4.88 $12.48
YTD Gross $1,246.88
Bank-A/C# Amt.
Gross Amt. $487.50
Comdata - New C $391.97
Total Hrs. 39.00
Plan Accrual Hrs. Used Hrs YTD Balance
Sick Leave_CA_San 1.30 0.00 3.33

C314
V
Hospitality Staffing Solutions, LLC. 1096172
100 Glenridge Point Parkway
Suite 400
Atlanta, GA 30342

Samantha Gonzalez R
1339 cornwall st
spring valley, CA 91977