Dollar Tree Account

Earnings

Rate Hours Current YTD

Bonus Regular *,150.00

Holiday 216.26

OT 23.96 0:24 9.58 3,834.55

Regular 15.97 79:03 1,262.43 24,590.87

Retro Pay -102.69

Gross Pay 1,272.01 29,688.99

Hours Paid 79:27

Deductions

Current YTD

Health Pretax 20.00 280.00

Vision Pretax 4.56 63.84

Total 24.56 343.84

Taxes Withheld

Taxable Taxable YTD Current YTD

FIT 1,247.45 29,345.15 77.31 1,937.28

FICA 1,247.45 29,345.15 77.34 1,819.40

MEDI 1,247.45 29,345.15 18.08 425.50

SIT:VA 1,247.45 29,345.15 40.02 995.16

Total 212.75 5,177.34

Net Pay 1,034.70 24,167.81

Wells Fargo/Jean Garris (3839) 1,034.70 24,167.81

Reduces your Federal Withholding, OASDI & Medicare Taxable Wage

#0106831 - JEAN GARRIS

MAM

Voucher #(294707) Pay Date: 11/03/2023

Pay Period: 10/15/2023-10/28/2023

Marian Manor

Coordinated Services Management

3333 Peters Creek Rd North

Roanoke, VA 24019

MAM 0106831 11/03/2023 (294707)

JEAN GARRIS

201 Holland Dr

Virginia Beach, VA 23462

Pay Date: 11/03/2023

Voucher #: (294707)

Non-Negotiable - This Is Not A Check

Deposited To The Account(s) Of Deposit # Account Type Account # Transit ABA Deposit JEAN GARRIS 1 Checking XXXXXX3839 051400549 1,034.70 1

1

1

Marian Manor Coordinated Services Management, 3333 Peters Creek Rd North, Roanoke, VA 24019 1 of 1

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