Back

Sample Earnings Record

 

0000*SAMPLE                                             Sample Company, Inc.                                              Page:    1
                                                          Earnings Record
                                               December 1, 2000 to December 31, 2000
          Gross    Overtime       Other        1099        FICA    Medicare         FWT        401k    Misc Ded            Net

Employee # 2           541-32-8861 Adler, Jimmy A.           321 Someother Street     Garland, TX  75040
------------------------------------------------------------------------------------------------------------------------------------
10209         12/15/00    Adler, Jimmy A.               
       1,332.00        0.00        0.00        0.00      -82.58      -19.31     -141.99        0.00     -115.00         973.12
12015         12/31/00    Adler, Jimmy A.               
       1,480.00        0.00        0.00        0.00      -91.76      -21.46     -164.19        0.00     -115.00       1,087.59
------------------------------------------------------------------------------------------------------------------------------------
                                                           Current Totals
       2,812.00        0.00        0.00        0.00     -174.34      -40.77     -306.18        0.00     -230.00       2,060.71
                                                          Quarterly Totals
      11,520.50        0.00        0.00        0.00     -714.27     -167.05   -1,265.55        0.00        0.00       9,373.63
       9,606.13        0.00        0.00        0.00     -595.58     -139.29   -1,094.05        0.00     -230.00       7,547.21
       7,964.25        0.00        0.00        0.00     -493.78     -115.48     -905.57        0.00     -575.00       5,874.42
       8,843.00        0.00        0.00        0.00     -548.27     -128.22     -979.59        0.00     -690.00       6,496.92
                                                        Year to Date Totals
      37,933.88        0.00        0.00        0.00   -2,351.90     -550.04   -4,244.76        0.00   -1,495.00      29,292.18
************************************************************************************************************************************

Employee # 4           745-25-9565 Bell, Mary Elizabeth      5965 Smart Court, #B-45  Dallas, TX  75228
------------------------------------------------------------------------------------------------------------------------------------
10210         12/15/00    Bell, Mary Elizabeth          
         650.00        0.00        0.00        0.00      -40.30       -9.43      -63.44        0.00        0.00         536.83
12016         12/31/00    Bell, Mary Elizabeth          
         650.00        0.00        0.00        0.00      -40.30       -9.42      -63.44        0.00        0.00         536.84
------------------------------------------------------------------------------------------------------------------------------------
                                                           Current Totals
       1,300.00        0.00        0.00        0.00      -80.60      -18.85     -126.88        0.00        0.00       1,073.67
                                                          Quarterly Totals
           0.00        0.00        0.00        0.00        0.00        0.00        0.00        0.00        0.00           0.00
           0.00        0.00        0.00        0.00        0.00        0.00        0.00        0.00        0.00           0.00
           0.00        0.00        0.00        0.00        0.00        0.00        0.00        0.00        0.00           0.00
       3,900.00        0.00        0.00        0.00     -241.80      -56.55     -380.64        0.00        0.00       3,221.01
                                                        Year to Date Totals
       3,900.00        0.00        0.00        0.00     -241.80      -56.55     -380.64        0.00        0.00       3,221.01
************************************************************************************************************************************

Employee # 3           000-00-0000 Campbell, Johnnie Sue     129 South Jones          Dallas, TX  75228
------------------------------------------------------------------------------------------------------------------------------------
10211         12/15/00    Campbell, Johnnie Sue         
       1,000.00        0.00        0.00        0.00      -62.00      -14.50      -57.19        0.00      -95.00         771.31
12017         12/31/00    Campbell, Johnnie Sue         
       1,000.00        0.00        0.00        0.00      -62.00      -14.50      -57.19        0.00      -95.00         771.31
------------------------------------------------------------------------------------------------------------------------------------
                                                           Current Totals
       2,000.00        0.00        0.00        0.00     -124.00      -29.00     -114.38        0.00     -190.00       1,542.62
                                                          Quarterly Totals
       7,400.00        0.00        0.00        0.00     -458.80     -107.30     -367.48        0.00        0.00       6,466.42
       5,800.00        0.00        0.00        0.00     -359.60      -84.10     -313.14        0.00     -190.00       4,853.16
       4,985.00        0.00        0.00        0.00     -309.07      -72.28     -283.70        0.00     -475.00       3,844.95
       6,000.00        0.00        0.00        0.00     -372.00      -87.00     -343.14        0.00     -570.00       4,627.86
                                                        Year to Date Totals
      24,185.00        0.00        0.00        0.00   -1,499.47     -350.68   -1,307.46        0.00   -1,235.00      19,792.39
************************************************************************************************************************************