Earnings Statement - Michigan Department of Health and ...

306 E. Grand River Ave. Lansing, MI 48933

Jane Hartman

Employee # 667890 SSN XXX-XX-XXXX

Earnings Statement

Period Begin: MM/DD/20YY Period Ending: MM/DD/20YY Paydate: 1st of this month

Earnings Regular Overtime Gross Pay

Rate Salaried 0

Hours 80.0 0

This Period $640.00 0 $640.00

Deductions

Federal Tax Medicare Tax Social Secrity Tax State of MI Tax City of Lansing Tax

$48.00 $6.40 $38.40 $19.20 $1.92

Net Pay

$526.08

306 E. Grand River Ave. Lansing, MI 48933

Jane Hartman

Employee # 667890 SSN XXX-XX-XXXX

Earnings Statement

Period Begin: MM/DD/20YY Period Ending: MM/DD/20YY Paydate: 1st of last month

Earnings Regular Overtime Gross Pay

Rate Salaried 0

Hours 80.0 0

This Period $640.00 0 $640.00

Deductions

Federal Tax Medicare Tax Social Secrity Tax State of MI Tax City of Lansing Tax

$48.00 $6.40 $38.40 $19.20 $1.92

Net Pay

$526.08

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