#803063 - Lilian Cruz Voucher # (100020) Pay Date: 08/07/2019

Stone Valley/Assisted Liv/Caregiver Pay Period: 07/14/2019-07/27/2019

Earnings Timesheet

Rate Hours Current YTD Time Off In Out Total

Holiday Worked 152.25 Sun, 07/14/2019 05:55a 10:30p 15.57
Overtime 18.75 31.60 592.50 1,664.82 Mon, 07/15/2019 01:59p 10:30p 8.02
Regular 12.50 80.00 1,000.00 3,940.38 Tue, 07/16/2019 01:59p 10:29p 8.00
Training 56.25 Wed, 07/17/2019 01:53p 10:30p 8.15

Gross Pay 1,592.50 5,813.70 Thu, 07/18/2019 01:53p 10:30p 8.12

Sun, 07/21/2019 05:53a 10:30p 15.76
Hours Paid 111.60 Tue, 07/23/2019 01:53p 10:30p 8.13
Wed, 07/24/2019 05:53a 10:30p 15.72
Taxes Withheld Thu, 07/25/2019 05:53a 02:27p 8.05
Taxable Taxable YTD Current YTD Fri, 07/26/2019 05:53a 02:26p 8.01
FIT 1,592.50 5,813.70 146.72 558.34 Sat, 07/27/2019 05:53a 02:27p 8.07
FICA 1,592.50 5,813.70 98.74 360.45
MEDI 1,592.50 5,813.70 23.09 84.30 Accruals

Total 268.55 1,003.09 Accrued Taken Bal.

Floating Holiday Hrs: 0.00 0.00 0.00
Paid Time Off Hrs: 7.98 0.00 7.98
Net Pay 1,323.95 4,810.61

Check 0.00 40.63 Tax Allowance Settings

Checking (3731) 1,323.95 4,769.98
Federal: Single/1

1
Company Paid Benefits

Current YTD
FUTA 9.56 34.89
FICA 98.74 360.45
MEDI 23.09 84.30
SUTA_SC:NV 0.80 2.91
Nevada MBT Fina 31.85 116.27
Nevada MBT Gene
SUTA:NV 46.98 171.50

Total 211.02 770.32

1 For information purposes only. No effect on your net pay.

SUNSHINE RETIREMENT LIVING LLC 807 SW INDUSTRIAL WAY, Bend, OR 97702 1 of 1

Pay Date: 08/07/2019

SUNSHINE RETIREMENT LIVING LLC
807 SW INDUSTRIAL WAY Voucher #: (100020)
Bend, OR 97702

Deposited To The Account(s) Of Deposit # Account Type Account # Transit ABA Deposit
Lilian Cruz 1 Checking XXXXXX3731 124103799 1,323.95

Stone Valley/Assisted Liv/Caregiver 803063 08/07/2019 (100020)

Lilian Cruz
2175 Sierra Highland Drive
Apt E326
Reno, NV 89523

NON-NEGOTIABLE - THIS IS NOT A CHECK