#803063 - Lilian Cruz Voucher # (101892) Pay Date: 08/21/2019

Stone Valley/Assisted Liv/Caregiver Pay Period: 07/28/2019-08/10/2019

Earnings Timesheet

Rate Hours Current YTD Time Off In Out Total

Holiday Worked 152.25 Sun, 07/28/2019 05:53a 10:30p 15.63
Overtime 18.75 0.59 11.06 1,675.88 Wed, 07/31/2019 05:53a 02:20p 7.97
Regular 12.50 79.48 993.50 4,933.88 Fri, 08/02/2019 05:58a 02:14p 7.78
Training 56.25 Sat, 08/03/2019 05:53a 02:29p 8.10

Gross Pay 1,004.56 6,818.26 Sun, 08/04/2019 05:59a 02:30p 8.03

Mon, 08/05/2019 01:53p 10:30p 7.88
Hours Paid 80.07 Wed, 08/07/2019 12:54p 02:02p 1.13
Thu, 08/08/2019 01:56p 10:11p 7.75
Taxes Withheld Fri, 08/09/2019 02:20p 10:30p 7.67
Taxable Taxable YTD Current YTD Sat, 08/10/2019 01:52p 10:30p 8.13
FIT 1,004.56 6,818.26 76.16 634.50
FICA 1,004.56 6,818.26 62.28 422.73 Accruals
MEDI 1,004.56 6,818.26 14.56 98.86
Accrued Taken Bal.
Total 153.00 1,156.09 Floating Holiday Hrs: 0.00 0.00 0.00
Paid Time Off Hrs: 9.54 0.00 9.54

Net Pay 851.56 5,662.17

Tax Allowance Settings
Check 0.00 40.63
Federal: Single/1
Checking (3731) 851.56 5,621.54

1
Company Paid Benefits

Current YTD
FUTA 6.03 40.92
FICA 62.28 422.73
MEDI 14.56 98.86
SUTA_SC:NV 0.50 3.41
Nevada MBT Fina 116.27
Nevada MBT Gene
SUTA:NV 29.63 201.13

Total 113.00 883.32

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: 08/21/2019

SUNSHINE RETIREMENT LIVING LLC
807 SW INDUSTRIAL WAY Voucher #: (101892)
Bend, OR 97702

Deposited To The Account(s) Of Deposit # Account Type Account # Transit ABA Deposit
Lilian Cruz 1 Checking XXXXXX3731 124103799 851.56

Stone Valley/Assisted Liv/Caregiver 803063 08/21/2019 (101892)

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

NON-NEGOTIABLE - THIS IS NOT A CHECK