Final Paycheck Acknowledgment - Yoshinoya

Final Paycheck Acknowledgment

I, the undersigned recipient, have received my final paycheck from Yoshinoya America, Inc., as follows:

I picked up my final paycheck on

Date

The Company mailed me my final paycheck, per my request.

I have reviewed my itemized statement. To the best of my knowledge, I have been paid all of my wages earned through my separation date, including, but not limited to, any accrued but unused vacation/PTO time.

Name of Recipient

Signature of Recipient

Date

Signature of Person Issuing Final Paycheck

Date

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