EFTA00187097¶
949 (9/79)¶
TRANSFER/TERMINATION¶
TERMINATION¶
EFTA00187098¶
| LOCATION | EMP. NO. | EMPLOYEE NAME | REGULAR RATE 500 | 00 | O/T RATE 1 | O/T RATE 2 | SH. REG HPS. | O/T HRS 1 | O/T HRS 1 | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 825013000 | 006257 | EPSTEIN J | EPSTEIN J | ||||||||
| THIS PAY PERIOD | GROSS 500 | 00 | FEDERAL TAX 71 | 23 | FICA 29 | 25 | STATE TAX 15 | 97 | CITY TAX 6 | 53 | SUI / DBL | DEDUCTIONS | NET PAY | |||
| YEAR TO DATE | GROSS 2500 | 00 | FEDERAL TAX 356 | 15 | FICA 146 | 25 | STATE TAX 79 | 85 | CITY TAX 31 | 21 | EARNINGS | AMOUNT | ||||
| DEDUCTIONS | AMOUNT | DEDUCTIONS | AMOUNT | DEDUCTIONS | AMOUNT | 5CO C | |||||
G3 15 76¶
NEW YORK NY 10028¶
BREAK CLOSE 2:37Ӧ
00431¶
1E700¶
108 EAST 89TH STREET¶
THE DALTON SCHOOLS INC¶
P. M. NO.¶
RETAIN THIS STATEMENT FOR YOUR RECORDS¶
STATEMENT OF EARNINGS¶
NO. 06187035¶