CEDAR RIDGE CARE AND REHABILITATION CENTER LL
LEBANON IL 62254
FEIN: 84-2297444
Pay Period 06/18/2023 - 07/01/2023
Pay Date 07/11/2023
PORTIA SMITH
EMPLOYEE ID: 206247
DEPARTMENT: 10160012
FITWH Filing Status: S
IL Filing Status: S Exemptions: BLOCKED
DD RECEIPT: 127*******
THIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY. CEDAR RIDGE CARE AND REHABILITATION CENTER LL
1 PERRYMAN STREET
LEBANON IL 62254 Direct Deposit # 127*******
Date 07/11/2023
Pay this Amount
** N O N - N E G O T I A B L E ** D I R E C T D E P O S I T R E C E I P T ** VOID ** VOID ** Pay to the
Order of
10160012 DD
PORTIA SMITH
11 CHRISTOPHER DR APT 111
BELLEVILLE IL 62226-5949
DIRECT DEPOSIT $1,292.53
TO ACCOUNT # XXXXXX3418
BANK # XXXXXX2181
N O N - N E G O T I A B L E
Earnings RATE HOUR/UNIT CURRENT YTD HOUR/UNIT YTD
Hourly 23.50 49.25 1,157.38 990.75 23,282.64
OT 23.50 1.50 35.25 103.00 2,420.53
HolWorked 8.00 188.00
OT Prem 18.97 1,388.64
PTO 23.50 8.00 188.00 32.00 752.00
BNS Shift 2,750.00
BNS Sign 1,000.00
Bonus 50.00
HolPrem1.0 188.00
Investig 38.00 893.00
Retro 24.00 564.00
Total 58.75 $1,399.60 1,195.75 $33,476.81
Total Hours Worked 50.75 1,155.75
Deductions CURRENT YTD
Uniform 110.36
Total $110.36
Time Off (hours) ACCRUED TAKEN AVAILABLE
PTO 6.1044
Taxes CURRENT YTD
MED 20.29 485.41
SOC 86.78 2,075.57
Total $107.07 $2,560.98
Net Pay XXXXXX3418 $1,292.53