Employee's Earnings Statement Name Document ID DOE, JANE ...
Employee's Earnings Statement
STATE OF MARYLAND COMPTROLLER OF MARYLAND 240109 CENTRAL PAYROLL BUREAU
EARNINGS REGULAR IMP INC HEALTH IMP INC DENTAL IMP INC PHARM
HOURS 80 0
CURRENT YEAR TO DATE
1709 18
1709 18
301 17
301 17
3 48
3 48
158 06
158 06
*STATE PAID BENEFITS* FICA SUBSIDY PHARMACY SUBSIDY DENTAL SUBSIDY RET/PEN SUB UNEMPL INS SUB HEALTH INS SUB
160 01 262 33
6 97 147 02
2 09 542 08
160 01 262 33
6 97 147 02
2 09 542 08
Name DOE, JANE
Regular Pay Rate 1709.18
Pay Period Ending Date 07-14-2009
Mar. Stat S
Fed Ex Additonal fed tax
00
1
MD FILING STATUS: SINGLE
St. Ex 00
Additional st. tax 0
Document ID RG9999
Check/Advice Number 99999999
County Code AA
TAXES/DEDUCTIONS
FEDERAL TAX FICA/MED STATE TAXES PHARMACY PLAN UCC DENTAL AD & D PLAN TX PHARMACY TX AETNA POS TX UCC DTL PPO IMP INC HEALTH IMP INC DENTAL IMP INC PHARM ST EMP ALT PEN DIRECT DEPOSIT AETNA POS
CURRENT
314 99 160 01 147 27
26 07 3 49 1 40
39 51 61 68
3 48 301 17
3 48 158 06
84 20 817 73
49 35
YEAR TO DATE
314 99 160 01 147 27
26 07 3 49 1 40
39 51 61 68
3 48 301 17
3 48 158 06
84 20 817 73
49 35
Current Year to Date
Earnings 2171 89 _ 2171 89
Taxes 622 27 _ 622 27
Deductions 731 89 731 89
J. DOE 1512 MAPLE LANE ANNAPOLIS, MD 21401
Example of Domestic Partner Deductions
Net Pay 817 73 817 73
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- 2019 comparison of the year end earnings statement to form w 2
- sample income statement pdfelement
- teachers and state employees retirement system
- how to read your leave and earnings statement
- annual reconciliation of salary and wages tax
- employer s statement of wage earnings new york state
- 470 2844 employer s statement of earnings
- employee s earnings statement name document id doe jane
- a employees earnings statement
Related searches
- leave and earnings statement mypay
- earnings statement state of florida
- employee earnings statement michigan
- earnings statement template fillable
- leave and earnings statement les
- federal employee earnings statement national
- free payroll earnings statement forms
- employee earnings statement florida
- retained earnings statement format
- earnings statement template word
- earnings statement state of mi
- earnings statement state of michigan