NON-NEGOTIABLE
Deposited to the account of account number transit ABA amount
Earnings Statement
120
Period Beginning: 04/22/2019
CO. FILE DEPT. CLOCK VCHR. NO.
Period Ending: 05/05/2019
802926 E03A 000******* 1
Pay Date: 05/10/2019
8FL
ATUL DESAI
this period total to date
ACTAVIS ELIZABETH LLC
9-17 BURBANK STREET
P.O. BOX 1090
FAIR LAWN NJ 07410
1090 HORSHAM ROAD
2 038 48
Other Benefits and
NORTH WALES, PA 19454
Taxable Marital Status: Married
Sick Balance 16 00
Exemptions/Allowances:
Vac Balance 128 00
Federal: 1
$2 038 48
NJ: Table B
EMPLOYER PHONE NUMBER 1-888-***-****
Advice number:
05/10/2019
rate hours this period year to date
Pay date:
xxxx xxxx $1 623 68
Regular 22-400*-**-**-*-*** 00 1 792 00
xxxxxx2818
Overtime 33-600*-**-*-**-*-**
Shift Earnings 240-**-***-**
Gross Pay
Statutory
-29 56 29 56
Federal Income Tax
-36 70 36 70
Social Security Tax
-10 29 10 29
Medicare Tax
-56 00 56 00
NJ State Income Tax
61 50
NJ SUI/SDI Tax
$1 623 68
Union Dues
-1 623 68
401K W/H
$0 00
Net Pay
Checking 2
Net Check
Your federal taxable wages this period are
$2 038 48
ACTAVIS ELIZABETH LLC
P O BOX 1090
1090 HORSHAM ROAD
NORTH WALES PA 19454
ATUL DESAI