No.

893679
Piedmont Medical Solutions JPMorgan Chase Bank, N.A.
2025 Woodward Ave Michigan 51-2548645

Detroit, MI 48226
Date 7/3/2020
(800) 819-6461

Pay To The Jasmine Jackson

Order Of $ **1,664.84

One Thousand Six Hundred Sixty-Four and 84/100 Dollars

Jasmine Jackson
13300 Village Park Dr
Southgate, MI 48195

Memo: Pay check

C000893679C A072000326A2552365692C

Piedmont Medical Solutions Jackson, Jasmine SSN XXX-XX-6381 Period Beginning 6/14/2020
2025 Woodward Ave 13300 Village Park Dr Gross Pay $2,095.09 Period Ending 6/27/2020
Detroit, MI 48226 Southgate, MI 48195 Net Pay $1,664.84 Check Date 7/3/2020
(800) 819-6461 Filing Status S0 Check No 893679

Earnings Hours/Rate Amount YTD Amt Taxes/Deductions Amount YTD Amt

Regular hourly pay 80.00/21.2 $1,696.00 $20,352.00 Fed Income Tax $180.93 $1,993.60
Overtime hourly pay 12.55/31.8 $399.09 $3,309.11 Social Security Tax $129.90 $1,466.99
Sick hourly pay 0.00/0 $0.00 $0.00 Medicare Tax $30.38 $343.11
Vacation hourly pay 0.00/0 $0.00 $0.00 State Income Tax $89.04 $1,005.59
Bonus $0.00 $0.00 Local Income Tax $0.00 $0.00
Commissions $0.00 $0.00 Health Insurance $0.00 $0.00
Tips $0.00 $0.00 401K $0.00 $0.00
Gross Pay $2,095.09 $23,661.11 Net Pay $1,664.84 $18,851.82

Piedmont Medical Solutions Jackson, Jasmine SSN XXX-XX-6381 Period Beginning 6/14/2020
2025 Woodward Ave 13300 Village Park Dr Gross Pay $2,095.09 Period Ending 6/27/2020
Detroit, MI 48226 Southgate, MI 48195 Net Pay $1,664.84 Check Date 7/3/2020
(800) 819-6461 Filing Status S0 Check No 893679

Earnings Hours/Rate Amount YTD Amt Taxes/Deductions Amount YTD Amt

Regular hourly pay 80.00/21.2 $1,696.00 $20,352.00 Fed Income Tax $180.93 $1,993.60
Overtime hourly pay 12.55/31.8 $399.09 $3,309.11 Social Security Tax $129.90 $1,466.99
Sick hourly pay 0.00/0 $0.00 $0.00 Medicare Tax $30.38 $343.11
Vacation hourly pay 0.00/0 $0.00 $0.00 State Income Tax $89.04 $1,005.59
Bonus $0.00 $0.00 Local Income Tax $0.00 $0.00
Commissions $0.00 $0.00 Health Insurance $0.00 $0.00
Tips $0.00 $0.00 401K $0.00 $0.00
Gross Pay $2,095.09 $23,661.11 Net Pay $1,664.84 $18,851.82
 No. 893604
Piedmont Medical Solutions JPMorgan Chase Bank, N.A.
2025 Woodward Ave Michigan 51-2548645

Detroit, MI 48226
Date 6/19/2020
(800) 819-6461

Pay To The Jasmine Jackson

Order Of $ **1,730.43

One Thousand Seven Hundred Thirty and 43/100 Dollars

Jasmine Jackson
13300 Village Park Dr
Southgate, MI 48195

Memo: Pay check

C000893604C A072000326A2552365692C

Piedmont Medical Solutions Jackson, Jasmine SSN XXX-XX-6381 Period Beginning 5/31/2020
2025 Woodward Ave 13300 Village Park Dr Gross Pay $2,181.27 Period Ending 6/13/2020
Detroit, MI 48226 Southgate, MI 48195 Net Pay $1,730.43 Check Date 6/19/2020
(800) 819-6461 Filing Status S0 Check No 893604

Earnings Hours/Rate Amount YTD Amt Taxes/Deductions Amount YTD Amt

Regular hourly pay 80.00/21.2 $1,696.00 $18,656.00 Fed Income Tax $191.27 $1,812.67
Overtime hourly pay 15.26/31.8 $485.27 $2,910.02 Social Security Tax $135.24 $1,337.09
Sick hourly pay 0.00/0 $0.00 $0.00 Medicare Tax $31.63 $312.73
Vacation hourly pay 0.00/0 $0.00 $0.00 State Income Tax $92.70 $916.55
Bonus $0.00 $0.00 Local Income Tax $0.00 $0.00
Commissions $0.00 $0.00 Health Insurance $0.00 $0.00
Tips $0.00 $0.00 401K $0.00 $0.00
Gross Pay $2,181.27 $21,566.02 Net Pay $1,730.43 $17,186.98

Piedmont Medical Solutions Jackson, Jasmine SSN XXX-XX-6381 Period Beginning 5/31/2020
2025 Woodward Ave 13300 Village Park Dr Gross Pay $2,181.27 Period Ending 6/13/2020
Detroit, MI 48226 Southgate, MI 48195 Net Pay $1,730.43 Check Date 6/19/2020
(800) 819-6461 Filing Status S0 Check No 893604

Earnings Hours/Rate Amount YTD Amt Taxes/Deductions Amount YTD Amt

Regular hourly pay 80.00/21.2 $1,696.00 $18,656.00 Fed Income Tax $191.27 $1,812.67
Overtime hourly pay 15.26/31.8 $485.27 $2,910.02 Social Security Tax $135.24 $1,337.09
Sick hourly pay 0.00/0 $0.00 $0.00 Medicare Tax $31.63 $312.73
Vacation hourly pay 0.00/0 $0.00 $0.00 State Income Tax $92.70 $916.55
Bonus $0.00 $0.00 Local Income Tax $0.00 $0.00
Commissions $0.00 $0.00 Health Insurance $0.00 $0.00
Tips $0.00 $0.00 401K $0.00 $0.00
Gross Pay $2,181.27 $21,566.02 Net Pay $1,730.43 $17,186.98