Earnings Statement Earnings Statement Earnings Statement Earnings Statement

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Company Code Loc/Dept

RP / LDW 20127653 01/


Number Page
5454482 1 of 1
Earnings Statement
MEHLNCAMP INC
27304 EASTVALE RD Period Starting: 01/12/2022
PALOS VERDES, CA 90274 Period Ending: 01/18/2022
Pay Date: 01/20/2022

Taxable Filing Status: Single


Exemptions/Allowances: Tax Override: Dana Hamilton
Federal: Std W/H Table Federal:
State: 1 State: 1962 253rd St Apt 7
Local: 0 Local: Lomita, CA 90717
Social Security Number:XXX-XX-8147

Earnings rate hours/units this period year to date Other Benefits and
Information this period year to date
Regular 20.0000 40.00 800.00 1755.00
Overtime 30.0000 10.50 315.00 375.00 Sick
Sick 0.00 605.00 - Carry Over 0.00
- Accrued Hours 0.00 0.00
Gross Pay $1,115.00 $2,735.00 - Taken Hours 0.00 30.25
- Balance -30.25
Vacation
- Carry Over 31.02
Statutory Deductions this period year to date - Accrued Hours 1.60 34.53
- Taken Hours 0.00 0.00
Federal Income -96.61 204.11 - Balance 34.53
Social Security -69.13 169.57 Total Hours Worked 50.50 100.25
Medicare -16.17 39.66
California State Income -40.68 77.78 Deposits
California State DI -12.27 30.09 account number transit/ABA amount
XXXXXX3176 XXXXXXXXX 880.14
Net Pay $880.14
Important Notes
Basis of pay: Hourly

Your federal taxable wages this period are $1,115.00

MEHLNCAMP INC
27304 EASTVALE RD
PALOS VERDES, CA 90274
Pay Date: 01/20/2022

Deposited to the account account number transit/ABA amount


Checking DirectDeposit XXXXXX3176 XXXXXXXXX 880.14

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