Earnings Statement
Deposited to the account of account number transit ABA amount
NON-NEGOTIABLE
CO. FILE DEPT. CLOCK VCHR. NO.
Period Beginning: 04/28/2024
565***-******-*** 000******* 1
Period Ending: 05/04/2024
AAK
Pay Date: 05/10/2024
AMAZON.COM SERVICES LLC
GINETTE HENRI FRANCOIS
ATTN: AMAZON PAYROLL
5755 SAN PAULO CIRCLE
202 WESTLAKE AVE N
623
$0 00
SEATTLE, WA 98109
INDIANAPOLIS IN 46226
$1 047 85
Filing Status: Single/Married filing separately
23 666 33
Exemptions/Allowances:
Net Check
this period total to date
Federal: Standard Withholding Table
Excluded from federal taxable wages
Your federal taxable wages this period are
rate hours this period year to date
$1 368 21
0 65 11 55
Regular 18-650*-**-**-***-** 13 009 33
Other Benefits and
Overtime 27-975*-**-**-***-** 6 874 20
Shft Pay @O/T
Groupterm Life
5 72
2-249*-**-**-**-** 562 80
Personal Balnce
59 93
Shift Pay 1-500*-**-**-**-** 1 157 69
Tot Work Hours
22 72
Holiday O/T 552 98
Vacation Balnce
05/10/2024
Holiday Pay 438 00
O/T Premium 37 01
YOUR COMPANY PHONE NUMBER IS 888-***-****
Personal Time
Gross Pay $1 408 38
BASIS OF PAY: HOURLY
xxxx
688 87
IF YOU HAVE PAY RELATED QUESTIONS, VISIT
Premium $4 0
Statutory
-86 62 1 454 64
HTTPS://ATOZ.AMAZON.WORK AND CLICK RESOURCES.
40 00
LEGAL ADDR 410 TERRY AVE NORTH SEATTLE WA 98109
Premium $5 0
Federal Income Tax
-20 26 340 20
Taxable Marital Status:
50 00
IN: Single
Premium $7 0
Social Security Tax
-41 73 703 97
Advice number:
xxxx
210 00
Pay date:
Shft Hol @O/T
Medicare Tax
-27 64 466 23
45 45
xxxxxx0147
IN State Income Tax
-0 69* 12 42
Marion R Income Tax
-7 62* 137 16
Pre-Tax Dental
-3 69* 66 42
Pre-Tax Medical
-28 17* 369 23
Pre-Tax Vision
$1 047 85
401K-Trad
-1 047 85
Net Pay
Checking Acct 2
Page 1(Con’t Next Page)
AMAZON COM SERVICES LLC
ATTN: AMAZON PAYROLL
202 WESTLAKE AVE N
SEATTLE WA 98109
GINETTE HENRI FRANCOIS
Earnings Statement
2000 ADP, Inc.
CONTINUED FROM PRIOR PAGE
YOUR VOUCHER IS PROVIDED ON PAGE 1
NON-NEGOTIABLE
CO. FILE DEPT. CLOCK VCHR. NO.
Period Beginning: 04/28/2024
565***-******-*** 000******* 1
Period Ending: 05/04/2024
AAK
Pay Date: 05/10/2024
AMAZON.COM SERVICES LLC
GINETTE HENRI FRANCOIS
ATTN: AMAZON PAYROLL
5755 SAN PAULO CIRCLE
202 WESTLAKE AVE N
623
SEATTLE, WA 98109
INDIANAPOLIS IN 46226
Filing Status: Single/Married filing separately
Exemptions/Allowances:
Federal: Standard Withholding Table
Exemptions/Allowances:
IN: 0
Page 2