CO. FILE DEPT CLOCK VCHR.

NO 062
2rv 811139 583670 48074 30616
Earnings Statement
Period Beginning: 03/31/2024
CENTERLINE DRIVERS, LLC Period Ending: 04/06/2024
1600 EAST 4TH STREET, STE 340 Pay Date: 04/12/2024
SANTA ANA , CA 92701
DERRICK LEONARD JACKSON
Social Security Number: XXX-XX-8889 1288 LORENZO DR SW
Taxable Marital Status: Single ATLANTA , GA 30310
Exemptions/Allowances: 1
Employee ID: 471163

Other benefits and

Earnings Rate Hours Amount Year to Date Information This Period Year To Date
Regular 40.00 40.00 1,600.00 20,800.00
Overtime 40.00 10.00 400.00 5,200.00
Gross Pay 2,000.00

Deduction Statutory
FICA - Medicare -29.00 377.00
FICA - Social Security -124.00 1,612.00
Federal Tax -291.16 3,785.08
State Tax -105.71 1,374.23
Net Pay 1,450.13
Checking -1,450.13
Net Check $0.00

CENTERLINE DRIVERS, LLC Advice Number: 0006988

1600 EAST 4TH STREET, STE 340 Pay date: 04/12/2024
SANTA ANA , CA 92701 Social Security Number: XXX-XX-8889

Deposited to the account of Account Number Transit ABA Amount

DERRICK LEONARD JACKSON XXX-0866 XXXX XXX $1,450.13

NON-NEGOTIABLE