Data Processing 24 00

© **** A utomatic Data Processing (PCSUVO)

Earnings Statement

OSS, Inc. Page 001 of 04/001 27/2024

**** *** ** ** ****** Beg/End: 04/21/2024

000*******

Warren OH 44483

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Empl ID: 27549

Advice Date: 05/03/2024

$746.91

Chk Ref #: 0185770

Advice Number: 000*******

Dept #:

Batch Number: 240*********

Earnings Rate Hours This Period Year-to-Date

DUPONT, MICHAEL T

19619 THORNRIDGE AVE

REGULAR 16.00 40.00 640.00 7,485.25

CLEVELAND OH 44135

O.T. 1-1/2 24.00 12.00 288.00 288.00

Other Deductions This Period Year-to-Date

Earnings Tot 928.00 7,773.25

F.I.C.A. 57.54 503.52

FEDERAL INCOME TA 64.86 271.99

BROOKLYN CITY TAX 23.20 203.03

OH STATE TAX 22.03 142.98

MEDICARE 13.46 117.77

Deduct Tot 181.09 1,239.29

OSS, 3635 Elm Inc. Rd NE Advice Number:

Warren OH 44483 Advice Date:

DUPONT, MICHAEL T Checking XXXXX7082 041202582

CO FILE # 000***-******

LD3 000027549

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