Operator Payroll

Support: 1-800-***-****

Red Wing for Business

By signing, employee certifies they have received the approved footwear and that any balance that exceeds the subsidy is their responsibility.

Signature: Date:

Customer Paid:

Payroll:

Subsidy:

Total:

Tax:

Subtotal:

Sale Date: Store Transaction #:

Style: Size: Width: Price:

Style: Size: Width: Price:

Payroll Deduct:

Accessories Allowed on

Subsidy:

Payroll Deduct: Accessories Allowed on

Program Name: Program Type: Tax Method:

PROGRAM SUMMARY

Account Name: Account Number:

Voucher Notes:

Valid:

Voucher Code:

Employee Last Name:

Initial Value: Employee First Name:

Teijin Automotive Technologies

VOUCHER

$175.00 Andrew

Soria

229f3191

11/17/2021 - 12/17/2021

Teijin Automotive Technologies 221497

$175 Subsidy - Operator - Safety Toe + Subsidy Taxed Up to Subsidy N/A No No

Department: Production-Operator

Contact this candidate