CO. FILE DEPT. CLOCK VCHR. NO.

055
RJE 000083 000701 0000270007 1 Earnings Statement
EDGECOMBE HEALTH CENTER BY HARBORVIEW LLC Period Beginning: 06/25/2023
1000 WESTERN BOULEVARD Period Ending: 07/01/2023
TARBORO, NC 27886 Pay Date: 07/07/2023

TINIYA BRIDGERS
Filing Status: Single/Married filing separately DEER GROVE LANE
Exemptions/Allowances:
Federal: Tax blocked
WENDELL NC 27591

rate hours this period year to date Other Benefits and

Regular 26 0000 15 97 415 22 21 986 11 this period total to date
Gross Pay $415 22 21 986 11 Totl Hrs Worked 15 97

Net Pay $415 22 COMPANY PH#:(252) 823-0401

Chkck1 -124 57
Chkck2 -290 65 BASIS OF PAY: HOURLY

Net Check $0 00

Taxable Marital Status:

Your federal taxable wages this period are $415 22 NC: Single
Exemptions/Allowances:
NC: 0,Tax Blocked

2000 ADP, Inc.

EDGECOMBE HEALTH CENTER BY HARBORVIEW LLCAdvice number: 00000270007

1000 WESTERN BOULEVARD Pay date: 07/07/2023
TARBORO NC 27886

Deposited to the account of account number transit ABA amount

TINIYA BRIDGERS xxxx5285 xxxx xxxx $124 57
xxxxxx8364 xxxx xxxx $290 65

NON-NEGOTIABLE