|
PERSONAL AND CHECK INFORMATION
,
Soc Sec #: xxx-xx-xxxx Employee ID:
Home Department: 30 Office
Pay Period: to
Check Date: Check #:
|
|
|
NET PAY ALLOCATIONS
| DESCRIPTION |
THIS PERIOD ($) |
| NET PAY |
$0.00 |
|
|
| EARNINGS |
DESCRIPTION |
HRS/UNITS |
RATE |
THIS PERIOD ($) |
|
Total Hours/Units |
0 |
|
|
|
Gross Earnings |
|
|
0.00 |
|
| WITHHOLDINGS |
DESCRIPTION |
FILING STATUS |
|
THIS PERIOD ($) |
|
TOTAL |
|
|
0 |
|
| DEDUCTIONS |
DESCRIPTION |
FILING STATUS |
|
THIS PERIOD ($) |
|
TOTAL |
|
|
0 |
|
| NET PAY |
|
|
|
THIS PERIOD ($)
$0.00 |
|
