CO. FILE DEPT. CLOCK VCHR. NO.

032
TGF 027772 469050 0000350559 1 Earnings Statement
PENNSYLVANIA HOSPITAL Period Beginning: 03/22/2024
800 SPRUCE ST Period Ending: 04/04/2024
PHILADELPHIA PA. 19107 Pay Date: 04/05/2024

ALANA DEWALT
Social Security Number: XXX-XX-4278 264 S WARNOCK ST
Filing Status: Single
Exemptions / Allowances: 0
PHILADELPHIA PA. 19107
Employee ID: 268347

Rate Hours Amount Year To Date Other Benefits and

Regular 57 6923 80 00 4,615 38 27 692 31 This period Year to date

Gross Pay $4 615 38 27, 692.31

Statutory
FICA – Medicare -66.92 401.52 BASIS OF PAY: BI-WEEKLY
FICA – Social Security -286.15 1,716.90
Federal Tax -705.27 4,231.63
State Tax -141.69 850.14 Exemptions/Allowances:
SC: 0
Net Pay $3,415 35
Checking -3,415 35
Net Check $0 00

Your federal taxable wages this period are

$4 615 38

2000 ADP, Inc.

PENNSYLVANIA HOSPITAL Advice number: 00000350559

800 SPRUCE ST Pay date: 04/05/2024
PHILADELPHIA PA. 19107

Deposited to the account of account number transit ABA amount

ALANA DEWALT xxxxxxxx8926 xxxx xxxx $3,415 35

NON-NEGOTIABLE