Earnings Statement
Deposited to the account of account number transit ABA amount
NON-NEGOTIABLE
CO. FILE DEPT. CLOCK VCHR. NO.
Period Beginning: 07/24/2022
004***-****** DFAAC 000******* 1
Period Ending: 07/30/2022
FSI
Pay Date: 08/05/2022
DFA DAIRY BRANDS FLUID, LLC
ALJAWANN REED
1405 N. 98TH ST.
930 N PATTERSON AVE
KANSAS CITY, KS 66111
WINSTON- SALEM NC 27101
$926 05
Other Benefits and
this period total to date
Filing Status: Single/Married filing separately
35 164 65
Exemptions/Allowances:
-57 43 2 180 60
Group Term Life 0 20 6 35
Federal: Tax blocked
-13 43 509 98
Totl Hrs Worked 52 90
Employee Id 0030649
rate hours this period year to date
Taxable Marital Status:
08/05/2022
Regular 15-250*-**-**-***-** 19 137 36
NC:
5
xxxx xxxx
Overtime 23-050*-**-**-***-** 12 535 61
Single
Shif Dif 50 0-500*-**-**-**-** 545 55
Exemptions/Allowances:
$740 96
Hol Wkd 1 5 313 08
NC:
Holiday 254 80
Advice number:
Other Duty Pay
Pay date:
776 25
xxxxxxxxx3071
Paid Time Off
Gross Pay
-22 00 1 032 00
822 00
Signing Bonus
Statutory
389 74
500 00
Social Security Tax
-50 00 1 550 00
Medicare Tax
-39 23 1 216 13
NC State Income Tax
-3 00 47 00
Federal Income Tax
908 16
Support
$740 96
Support
-740 96
Support Fee
$0 00
Tax Levy
Net Pay
Check
Net Check
Your federal taxable wages this period are $926 05 DFA DAIRY BRANDS FLUID LLC
1405 N 98TH ST
KANSAS CITY KS 66111
ALJAWANN REED