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Sample Deduction Register

 

0000*SAMPLE                                             Sample Company, Inc.                                              Page:    1
                                                         Deduction Register
                                               December 1, 2000 to December 31, 2000
Check number  Date     Payee
       Advances  Group Med Ins     Dental Ins  Dependent Ins  Child Support
10206         12/15/00 General Insurance Group       
           0.00           0.00           0.00           0.00           0.00
10208         12/15/00 NATIONS BANK                  
           0.00           0.00           0.00           0.00           0.00
10209         12/15/00 (2) Adler, Jimmy A.               
           0.00        -115.00           0.00           0.00           0.00
10210         12/15/00 (4) Bell, Mary Elizabeth          
           0.00           0.00           0.00           0.00           0.00
10211         12/15/00 (3) Campbell, Johnnie Sue         
           0.00         -95.00           0.00           0.00           0.00
10212         12/15/00 (1) Johnson, Charlie L.           
           0.00        -138.00           0.00           0.00        -300.00
12013         12/31/00 Texas Child Support Agent     
           0.00           0.00           0.00           0.00           0.00
12014         12/31/00 NATIONS BANK                  
           0.00           0.00           0.00           0.00           0.00
12015         12/31/00 (2) Adler, Jimmy A.               
           0.00        -115.00           0.00           0.00           0.00
12016         12/31/00 (4) Bell, Mary Elizabeth          
           0.00           0.00           0.00           0.00           0.00
12017         12/31/00 (3) Campbell, Johnnie Sue         
           0.00         -95.00           0.00           0.00           0.00
12018         12/31/00 (1) Johnson, Charlie L.           
           0.00        -138.00           0.00           0.00        -300.00

                                                           Current Totals
           0.00        -696.00           0.00           0.00        -600.00