Paystub 08:2004

 // total total deduction deduction this perio C O . perio F I LE

D EPT. C LOC K N U M BER

SBINC SBINC 526543 103216 9234519129 9234519129 0

Earnings Statement Western Business Solutions 

08/13/2004 08/20/2004

Period ending: Pay date:

1180 8 Miracle Hills Dr. Dr. Omaha NE 68154 

Taxable Marital Status: 1 Exemptions/Allowances: Federal: 3, $25 Additional Tax State: Local:

Earnings Regular Overtime Bonus

Commission

Reynaldo Ayala-Hernandez 420 16th St. Apt 4 Sparks, NV. 89431 xxx-xx-5303

2 1

rate

hours

this pe riod

ye ar to da te

9.00

8 0 .0 0

7 2 0 .0 0

7 2 0 .0 0

1 3.50

0 .0 0

0 .0 0

0 .0 0

--

--

0 .0 0

0 .0 0

--

--

0 .0 0

0 .0 0

--

0 .0 0

0 .0 0

--

0 .0 0

--

Important Note s PAY PERIOD - REGULAR - NON-EXEMPT

CURRENT PAY RATE IS: $9.00 PER HOUR.

0 .0 0 720.00

Gross Pay

REMEMBER OUR UNITED WAY FUND DRIVE

Deductions

Statutory

Federal Income Tax Social Security Tax Medicare Tax State Income Tax Local Tax / SDI Other 401(k ) M edical

Garnish To ta l De d u ctio n s

- 91. 27 - 44. 64 - 10. 44 - 0. 00 - 0. 00

91. 27 44. 64 10. 44 0. 00 0. 00

- 0. 00 - 0. 00 -0. 00

0. 00 0. 00 0. 00

-1 4 6 .3 5

-1 4 6 .3 5 573.65

Net Pay

* Excluded from federal taxable wages

32728310E

Western Business Solutions 1 1 8 0 8 Mira cle Hills Dr. Omaha 68154

Pay to the order of:

Payroll check number: number: 19129 Pa y d a t e : 0 8 / 2 0 /2 0 0 4

Ayala-Hernandez Reynaldo

This amount:

573.65

VOID VOID VOID

AUTHORIZED SIGNATURE

VOID AFTER 90 DAYS

DIRECT DEPOSIT - DO NOT CASH - THIS IS NOT A CHECK NATIONAL BANK STREET ADDRESS

CITY STATE ZIP

001379 1220004964040110157 HOLD AT AN ANGLE TO VIEW VIEW W HEN CHECKING THE ENDORSEMENT. ENDORSEMENT.