|
Statement of Earnings and Deductions |
Company
| Margaret R. Pardee Memorial Hospital |
Employee Name
|
Employee No.
|
Department
|
Deposit Date
|
Deposit #
|
Pay Period End
|
Rate
|
FIRST LAST |
XXXXX |
XXX.XXX | 11/25/09 |
XXXXXX | 11/21/09 | 16.322 |
|
Earnings |
Description
|
Hours
|
Amount
| REGULAR | 80.000 | 1,305.76 |
Total Earnings
| 80.000 | 1,305.76 |
| |
Taxes and Deductions |
Description
|
Current
|
YTD
| PRE-TAX HEALTH | 144.47 | 3,178.34 | PRE-TAX DENTAL | 20.52 | 451.44 | PRE-TAX VISION | 13.20 | 290.40 | PRE-TAX CANCER | 11.16 | 223.20 | SOCIAL SECURITY | 69.22 | 1,727.32 | MEDICARE | 16.19 | 404.00 | FEDERAL TAX | 59.86 | 787.40 | STATE TAX | 65.99 | 1,075.63 | LIFE INSURANCE | 4.72 | 102.44 | DEPENDANT LIFE | 4.65 | 102.30 | WHOLE LIFE INS. | 8.66 | 173.24 | ACCTS RECEIVABL | 25.00 | 600.00 | CAFETERIA | | 16.33 | GARDEN CAFE | | 15.07 | GIFT SHOP | | 27.72 | UW / FOUNDATION | | 4.00 |
Total Taxes and Deductions
| 443.64 | 9,178.83 |
|
Available Benefit Hours |
Description
|
Hours
| PTO | 91.874 |
| |
Direct Deposit |
Account
|
Type
|
Amount
|
*
*
*
*
*
*0065 | C | 350.00 |
*
*
*
*
*
*
*9806 | C | 512.12 |
|
Summary | |
Earnings
|
Taxes
|
Deductions
|
Net Pay
|
Current
| 1,305.76 | 211.26 | 232.38 | 862.12 |
YTD
| 32,003.02 | 3,994.35 | 5,184.48 | 22,824.19 |
|
|