Employer Solutions Staffing Group II, LLC Check Number: 242273
**** ****** ***** **. ***** 200 Eden Prairie, MN - 55344
Check Date: 01/02/2020
W2 Questions? 952-***-**** or **@**********************.*** Name: PERRY WAMAH Net Amt.: $225.11 EARNINGS STATEMENT SSN: 7472 Gross Amt.: $243.75 YTD Gross: $2,845.50 IMPORTANT-KEEP FOR YOUR RECORD PPE Customer Department Type Units Pay Rate Total Pay 12/29/2019 Quality Metalcrafts LLC Quality RT 16.25 $15.00 $243.75 Total 16.25 $243.75
Tax Taxable Tax YTD
Federal Income Tax $243.75 $0.00 $14.15
Minnesota State Tax $243.75 $0.00 $7.32
FICA $243.75 $15.11 $176.42
Medicare $243.75 $3.53 $41.26
Additional Medicare $0.00 $0.00 $0.00
Total $18.64 $239.15
Employer Solutions Staffing Group II, LLC MidWestOne 242273 PO Box 46270 Minneapolis, MN - 55344
Eden Prairie, MN 55344
72-123/739
Date Amount
Pay Two Hundred Twenty Five and Eleven Cents Only 01/02/2020 $225.11 Pay to the order of Void After 90 Days
PERRY WAMAH
7442 MEADOWWOOD CT
BROOKLYN PARK, MN 55444