CO. FILE DEPT.

CLOCK NUMBER
CLN 34261 1532 - 000342799 Earnings Statement
LONNIE BUSH FITNESS Period Beginning: 02/26/2024
9620 E STATE RTE 350 #111 Period Ending: 03/10/2024
RAYTOWN, MO 64133 Pay Date: 03/11/2024

Social Security Number: XXX-XX-1739

Taxable Marital Status: Single KYLA CARTER
5525 MANNING AVE
RAYTOWN, MO 64133

Earnings Rate Hours This Period Year to Date Other Benefits and
Regular 17.50 42.00 735.00 3,716.49 Information This Period Total to Date
Overtime (2X) Group Term Life 0.00 0.00
Holiday Loan Amt Paid 0.00 0.00
Tuit ion
Gross Pay $735.00 $3,716.49 Vac Hrs 0.00
Sick Hrs 0.00
Deductions Statutory Title
Federal Withholding 17.35 88.19
FICA Social Security 45.57 229.82
FICA Medicare 10.66 60.47 Important Notes
MO State Withholding 35.00 178.43 WE WILL BE STARTING OUR UNITED WAY FUND
DRIVE SOON AND LOOK FORWARD TO YOUR
Other
PARTICIPATION.
Bond - -

©2008, 2001, 2000, 1999 ADP, Inc.

401(k) - -
Stock Plan - -
Life Insurance- - -
Loan - -
Adjustment
Life Insurance -
Net Pay $626.42

TEAR HERE
LONNIE BUSH FITNESS Payroll check number: 000342799
9620 E STATE RTE 350 #111 Pay date: 03/10/2024
RAYTOWN, MO 64133 Social Security No. XXX-XX-1739

Pay to the
order of: KYLA CARTER Account Number: XXX XXX 3313
This amount: SIX HUNDRED TWENTY-SIX AND 42/100 DOLLARS $626.42

BANK OF AMERICA
AUTHORIZED SIGNATURE
10100 E STATE RTE 350
RAYTOWN, MO 64138 VOID AFTER 90 DAYS

THIS IS NOT A CHECK - NON-NEGOTIABLE

THE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE BACK. HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT.