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Team Member Name Team Member Number Hire Date

Rotandria Foster 800******-**/01/2021

Team Member Address Employer Employer Address

PO Box 2

Friars Point, MS 38631

IOC Lula Inc

DBA Isle of Capri Casino Hotel Lula

Phone# 1-866-***-****

777 Isle of Capri Pkwy

Lula, MS 38644

Period Type Period Start Date Period End Date Payment Date Base Salary Biweekly 01/20/2023 02/02/2023 02/09/2023 $12.73

Tax Withholding Information

Type Marital Status Total Dependent Amount Exemptions Extra Withholding FEDERAL Head of household $6,000.00 $0.00

MS Single $0.00

Summary

Gross Earnings Pretax Deductions Tax Deductions Other Deductions Net Pay Current $744.69 $31.72 $68.82 $32.29 $611.86

Year to Date $2,139.55 $84.46 $210.23 $96.86 $1,748.00 Hours & Earnings Summary

Description Rate Multiplier Current

Hours/Units

Current Earnings Year to Date

Hours/Units

Year to Date

Earnings

REG $12.73 1.00 58.50 $744.69 166.25 $2,088.63

PTO $0.00 $50.92

Tax Deductions Pretax Deductions

Description Current Year to Date

Social Security Employee Withheld $46.05 $132.29

SIT Withheld (MS) $12.00 $47.00

Medicare Employee Withheld $10.77 $30.94

Description Current Year to Date

K401 BASIC $29.79 $78.67

DENTAL $1.93 $5.79

Other Deductions Time Off Balance

Description Current Year to Date

HOSPITAL INDEMNITY $11.44 $34.32

CRITICAL ILLNESS $9.42 $28.26

ACCIDENTAL INJURY $7.91 $23.73

EMPLOYEE OPT STD $1.88 $5.63

CHILD OPT LIFE $1.29 $3.87

EMPLOYEE OPT LTD $0.35 $1.05

Description Hours

PTO VACATION AVAILABLE 9.55

Net Pay Distribution Total Hours Worked

Check/Deposit Number Account Number Payment Amount Direct Deposit 1 XXXXXXXXXX6663 $611.86

Description Hours

TOTAL HOURS WORKED 58.50

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IOC Lula Inc

C/O Caesars Ent. Payroll Dept

One Caesars Palace Dr

Las Vegas, NV 89109

Forwarding Service Requested

Rotandria Foster

PO Box 2

Friars Point, MS 38631

Contact this candidate