Child Support Paid Benefits
Resume:
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0600: Pendleton, IN
LOVE'S TRAVEL STOPS & COUNTRY STORE
OKLAHOMA CITY OK 73120
For inquiries on this statement please call: 405-***-****
Total Hours worked: 26.43
QTE ll 7% 0
Earnings Statement
Empl ID 000408540
Page 001 of 001
Period Beg/End: 08/28/2024 - 09/03/2024
Advice Date: 09/09/2024
Advice Number: 408-***-****
Batch Number: 000*********
SAMMY E BEEMAN
601 NORTH MADISON ST.
APT.D3
FORTVILLE, IN 46040
Basis of Pay: Hour:
Pay Rate 13.61
Earnings Rate Hours Current YTD Amount Other Deductions Current YTD Amount
Regular 13.60 26.43 359.45 16,680.53 Uniforms 144.88
Overtime 1,195.24 Child Support Gar 136.00 5,142.74
HolPayS0 56.37 Ghild Support Fee __4.09 _156,00
ParentlL 1,088.54 Total Other Ded. 140.00 5,443.62
Vac Term 99.52 1,353.47 1,353.47 —o
RefBonus 500.00 fet Pay Taz
Ad CurgT
Gross Pay T7282 20,874 58 Employer Paid Benefits
SS eee Health and Ins Be 0.56 23.66
Tax Deductions
FED Withholding Tax 219.94 1,300.22 Direct Deposit Summary
Social Security Tax 106.20 1,310.80 XXXXXXXKS241 1,137.42
Medicare Tax 24.84 306.56
IN Withholding Tax 51.66 623.71
4
Total Tax Ded. 435.50 3,938.03
Your Federal taxable wages for this period are: $1,712.92
YTD Federal taxable wages are :$21,141.98
LOVE'S TRAVEL STOPS & COUNTRY STORE
40601, N Pennsylvania Ave. Advice Number: 408-***-****
OKLAHOMA CITY OK 73120 _ pale vate: oaoar2024
Deposited to the account of unt Number Transit ABA Amount
SAMMY E BEEMAN XXXXXXX5241 125109006 1137.42
lI O
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