Sioux Rivers

K & D TRANSPORTATION INC

**** ****** ******

SOUTH SIOUX CITY, NE 68776

Advice Number: 000*******

Pay Date: 05/28/2021

Social Security Number: XXX-XX-0618

Pay to the

order of

TYRONE RIVERS

This amount: NINE HUNDRED SEVENTY ONE AND 80/100 DOLLARS $971.80 NON-NEGOTIABLE

CO. FILE DEPT. CLOCK VCHR.NO 062

1NU 733046 FL2037 51261 000*******

K & D TRANSPORTATION INC

4700 DAKOTA AVENUE

SOUTH SIOUX CITY, NE 68776

Social Security Number: XXX-XX-0618

Taxable Marital Status: Single

Exemptions/Allowances: 0

Earnings Statement

Period Beginning: 05/14/2021

Period Ending: 05/27/2021

Pay Date: 05/28/2021

TYRONE RIVERS

1748 AMERICANA BLVD APT 57D

ORLANDO, FL 32839

Earnings Rate Hours Amount Year To Date

Regular 15.00 80.00 1,200.00 13,200.00

Gross Pay $1,200.00 13,200.00

Deduction Statutory

FICA Medicare - 17.40 191.40

FICA Social Security - 74.40 818.40

Federal Tax - 136.40 1,500.40

State Tax - 0.00 0.00

Net Pay $971.80

Check -971.80

Net Check $0.00

Other Benefits and

Information This Period Year To Date

Contact this candidate