Check Date:
Additional Tax:
Additional Tax:
Employee #: 12/12/2025
Clock Number:
SSN:
Company Id:
Division:
Department:
Federal Filing:
State Filing:
Period Begin:
Period End:
Exemptions:
Exemptions:
Single or Marri N/A
0
Statement of Earnings For: Jason Kiel Dickinson
469
XXX-XX-2084
S&T LLC DBA CRUMBL COOKIES - MIDLAND (02
4400 N Midland Dr
Ste 501
Midland, TX 79707
V139786911
Check Amount
$0.00
Gross Pay
$964.70
Net Pay
$852.12
Voucher Id Check Message
0220CME7
EARNINGS *Not included in Totals
Description Rate Hours Dollars YTD Hours YTD Dollars Regular 8.5000 72.63 617.36 526.83 4,330.96
Overtime 12.7500 1.87 23.85 16.96 212.30
Bonus 8.5000 0.00 100.00 0.00 100.00
Bakers Tips 0.00 209.34 0.00 1,884.11
Additional Tips 0.00 14.15 0.00 22.21
Total: 74.50 964.70 543.79 6,549.58
TAXES
Description Current YTD
SOC SEC EE 59.81 406.07
MED EE 13.99 94.97
FEDERAL WH 38.78 222.98
Total: 112.58 724.02
DEDUCTIONS
Description Current YTD
Total: 0.00 0.00
CURRENT PERIOD LEAVE ACCRUAL DISTRIBUTION OF NET PAY Checking Account: XXXXX0627 Deposit Amount: 852.12 CHECK DATE
12/12/2025
VOUCHER ID
V139786911
Your entire Net pay of $852.12 has been deposited in your bank account(s). TOTAL NET PAY
852.12
NOT NEGOTIABLE
S&T LLC DBA CRUMBL COOKIES - MIDLAND
(0220CME7)
4400 N Midland Dr
Ste 501
Midland, TX 79707
Jason Kiel Dickinson
6901 S. County Rd 1200
MIDLAND, TX 79706
469 10