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Employer
| Albertsons Stores, Inc. |
| Store #4286 |
| 2215 Any Street |
| Bosie, Idaho, 12345 |
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Pay Period
| Check #: |
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0000351 |
| Pay Date: |
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Jan 16, 2008 |
| Pay Period: |
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Jan 4, 2008- Jan 10, 2008 |
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Payee
John D Doe |
123 Test Street # 255 |
Las Vegas, NV 89119 |
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Filing Statue
| Social Security Number: |
334546554 |
| Taxable Status: |
Maried |
| Fed Exemptions: |
4 |
| State Exemptions: |
3 |
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| Earnings |
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Rate |
Hours |
Period |
Year to Date |
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REGULAR |
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503.19 |
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OVERTIME |
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13.67 |
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OTHER |
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Total Gross Pay |
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$516.86 |
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| PreTax Deductions |
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401k Contribution |
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- 20.00 |
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Cafeteria Plan |
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-13.67 |
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Total Pre Tax Deductions |
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- $33.67 |
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Federial Taxable Wages |
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- $483.19 |
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| Withholdings |
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Federal Income Tax |
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- 0.00 |
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Socical Security Tax |
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- 13.67 |
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Medicare Tax |
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- 3.19 |
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State Income Tax |
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- 0.00 |
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Total Withholdings |
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- $16.86 |
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| After Tax Deductions |
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Health Insurance |
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- 49.00 |
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Employee Stock Purchase Plan |
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- 28.75 |
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Supplemental Life Insurance |
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- $9.00 |
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After Tax Deductions |
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- 86.75 |
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Net Pay |
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$379.98 |
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| Adjustments |
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Expenses Adjustment [+] |
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$86.75 |
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Direct Deposit Amount |
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$466.73 |
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