Staffmark Investment LLC Pay Group: S65-Sun-Sat-Fri

191 Rosa Parks Street, 10th Floor Pay Begin Date: 01/21/2024 Advice #: 000001007481795
Cincinnati OH 45202 Pay End Date: 01/27/2024 Advice Date: 02/02/2024
513.852.4899

TAX DATA: Federal AZ State

celesity a chavez Employee ID: 2137131 Tax Status: H-of-H N/A
13850 N 19th Ave Department: 136030-ON10 UPSMI - Tolleson AZ Allowances: 0 0
Phoenix, AZ 85023-6111 Addl. Percent: N/A
Addl. Amount:

HOURS AND EARNINGS TAXES

------------------ Current ------------------- ---------- YTD -------------
Description Rate Hours Earnings Hours Earnings Description Current YTD
Regular - 01/27/2024 18.50 29.08 537.98 147.25 2,724.13 Fed Withholdng 11.68 70.35
Fed MED/EE 7.80 39.50
Fed OASDI/EE 33.36 168.90
AZ Withholdng 22.60 114.42

TOTAL: 29.08 537.98 147.25 2,724.13 TOTAL: 75.44 393.17

BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS
Description Current YTD Description Current YTD Description YTD
Arizona (statewide)
Sick Hours Accrued 4.31
Sick Hours Taken 0.00
Sick Hours Available 9.68

TOTAL: 0.00 0.00 TOTAL: 0.00 0.00

TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
Current 537.98 537.98 75.44 0.00 462.54
YTD 2,724.13 2,724.13 393.17 0.00 2,330.96
ASSIGNMENT DATA NET PAY DISTRIBUTION
Customers Hours Customers Hours Payment Type Amount
UPS Mail Innovations 29.08 Advice #000001007481795 462.54
407 S 104TH Avenue Tolleson AZ 85353

TOTAL: 462.54

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