PAYROLL REGISTER

Time Record Regular Earnings Overtime Earnings

No. W/H Allow.

Marital Status
Rate Rate
Per Per Total
NAME S M T W T F S S M T W T F S Hrs. Hour Amount Hrs. Hour Amount Earnings
Payday, October 9, 20-- For Period Ending October 3, 20--
Bonno, A. M 4 8 8 8 8 8 8 8 8 8 8 80 17.60 1,408.00 1,408.00
Ferguson, J. M 5 8 8 8 8 8 8 8 8 8 8 80 2,250.00 2,250.00
Ford, C. S 2 8 8 8 8 8 8 8 8 8 8 80 1,220.00 1,220.00
Mann, D. M 4 8 8 8 8 8 8 8 8 8 8 80 1,350.00 1,350.00
O'Neill, J. M 3 8 8 8 8 8 8 8 8 8 8 80 2,307.69 2,307.69
Russell, V. S 1 8 8 8 8 8 8 8 8 8 8 80 1,200.00 1,200.00
Ryan, N. M 4 8 8 8 8 8 8 8 8 8 8 80 18.00 1,440.00 1,440.00
Sokowski, T. M 2 8 8 8 8 8 8 8 8 8 8 80 2,050.00 2,050.00
Pham, N. S 1 8 8 8 8 4 8 8 8 8 4 72 14.00 1,008.00 1,008.00
Williams, R. S 0 8 8 D 8 8 8 8 8 8 8 80 1,223.08 1,223.08

TOTALS 15,456.77 15,456.77

Payday, October 23, 20-- For Period Ending October 17, 20--
Bonno, A. M 4 8 8 8 8 8 4 8 8 8 8 8 80 17.60 1,408.00 4 26.40 105.60 1,513.60
Ferguson, J. M 5 8 8 8 8 8 8 8 8 8 8 80 2,250.00 2,250.00
Ford, C. S 2 4 8 8 8 8 8 8 8 8 8 80 1,220.00 1,220.00
Mann, D. M 4 8 8 8 8 8 8 8 8 8 8 80 1,350.00 1,350.00
O'Neill, J. M 3 8 8 8 8 8 8 8 8 8 8 80 2,307.69 2,307.69
Russell, V. S 1 8 8 8 8 8 8 8 8 8 8 80 1,200.00 1,200.00
Ryan, N. M 4 8 8 8 8 8 8 8 8 8 8 8 80 18.00 1,440.00 8 27.00 216.00 1,656.00
Sokowski, T. M 2 8 8 8 8 8 8 8 8 8 8 80 2,050.00 2,050.00
Pham, N. S 1 8 8 8 8 4 8 8 8 8 4 72 14.00 1,008.00 1,008.00
Williams, R. S 0 8 8 8 8 8 8 8 8 8 8 80 1,223.08 1,223.08
0 0.00 0.00
TOTALS 792 15,456.77 12 321.60 15,778.37
Payday, November 6, 20-- For Period Ending October 31, 20--
Bonno, A. M 4 8 8 8 8 8 8 8 8 8 8 80 17.60 1,408.00 1,408.00
Ferguson, J. M 5 8 8 8 8 8 8 8 8 8 8 80 2,250.00 2,250.00
Ford, C. S 2 8 8 8 8 8 8 8 8 8 8 80 1,220.00 1,220.00
Mann, D. M 0 8 8 8 8 8 8 8 8 8 8 80 1,350.00 1,350.00
O'Neill, J. M 3 8 8 8 8 8 8 8 8 8 8 80 2,307.69 2,307.69
Russell, V. S 2 8 8 8 8 6 8 8 8 8 8 78 1,170.00 1,170.00
Ryan, N. M 4 8 8 8 8 8 8 8 8 8 8 80 18.00 1,440.00 1,440.00
Sokowski, T. S 2 8 8 8 8 8 8 8 8 8 8 80 2,050.00 2,050.00
Pham, N. S 1 8 8 8 8 4 8 8 8 8 4 72 14.00 1,008.00 1,008.00
Williams, R. S 0 8 8 8 7 8 8 8 8 8 8 79 1,207.85 1,207.85

TOTALS 15,411.54 15,411.54

Payday, November 13, 20-- For Period Ending November 14, 20-- 15,411.54

Williams, R. S 0 56 2,079.32 2,079.32

** Discharge November 13, 20-- **
TOTALS 2,079.32 2,079.32
Time Record Regular Earnings Overtime Earnings
No. W/H Allow.
Marital Status

Rate Rate
Per Per Total
NAME S M T W T F S S M T W T F S Hrs. Hour Amount Hrs. Hour Amount Earnings
Payday, November 20, 20-- For Period Ending November 14, 20--
Bonno, A. M 4 8 8 8 8 8 8 8 8 64 17.60 1,126.40 1,126.40
Ferguson, J. M 5 8 8 8 8 8 8 8 8 8 8 80 2,250.00 2,250.00
Ford, C. S 2 8 8 8 8 8 8 8 8 8 8 80 1,220.00 1,220.00
Mann, D. M 0 8 8 8 8 8 8 8 8 8 8 80 1,350.00 1,350.00
O'Neill, J. M 3 8 8 8 8 8 8 8 8 8 8 80 2,307.69 2,307.69
Russell, V. S 2 6 8 8 8 8 8 8 8 8 8 78 1,170.00 1,170.00
Ryan, N. M 4 8 8 8 8 8 8 8 8 8 8 80 18.00 1,440.00 1,440.00
Sokowski, T. S 2 8 8 8 8 8 8 8 8 8 8 80 2,050.00 2,050.00
Pham, N. S 1 8 8 8 8 4 8 8 8 8 4 72 14.00 1,008.00 1,008.00

TOTALS 13,922.09 13,922.09

Payday, December 4, 20-- For Period Ending November 28, 20-- 13922.09

Bonno, A. M 4 8 8 8 8 8 8 8 8 8 8 8 80 17.60 1,408.00 8 35.20 281.60 1,689.60

Ferguson, J. M 5 8 8 8 8 8 8 8 8 8 8 80 2,250.00 2,250.00
Ford, C. S 2 8 8 8 8 8 8 8 8 8 8 80 1,280.00 1,280.00
Mann, D. M 0 8 8 8 8 8 8 8 8 8 8 80 1,350.00 1,350.00
O'Neill, J. M 3 8 8 8 8 8 8 8 8 8 8 80 2,307.69 2,307.69
Russell, V. S 2 8 8 8 8 8 8 8 8 8 8 80 1,260.00 1,260.00
Ryan, N. M 4 8 8 8 4 8 9 10 8 8 8 76 18.00 1,368.00 3 27.00 81.00 1,449.00
Sokowski, T. S 2 8 8 8 8 8 8 8 8 8 8 80 2,050.00 2,050.00
Pham, N. S 1 8 8 8 4 8 8 8 8 8 4 72 14.00 1,008.00 1,008.00
Woods, B. S 1 8 8 8 8 8 8 8 8 8 72 1,080.00 1,080.00

TOTALS 15,361.69 362.60 15,724.29

Payday, December 14, 20-- For Period Ending December 12, 20--
Russell, V. S 2 8 8 8 8 8 8 8 8 8 72 1,134.00 2,394.00

TOTALS 1,134.00 2,394.00

Payday, December 18, 20-- For Period Ending December 12, 20--
Bonno, A. M 5 4 8 8 8 8 8 8 8 8 8 8 8 80 17.60 1,408.00 12 35.20 422.40 1,830.40
Ferguson, J. M 5 8 8 8 8 8 8 8 8 8 8 80 2,250.00 2,250.00
Ford, C. S 2 8 8 8 8 8 4 8 8 8 8 80 1,280.00 1,280.00
Mann, D. M 0 8 8 8 8 8 8 8 8 8 8 80 1,350.00 1,350.00
O'Neill, J. M 4 8 8 8 8 8 8 8 8 8 8 80 87,307.69 87,307.69
Ryan, N. M 4 8 9 9 9 9 10 8 8 9 8 80 18.00 1,440.00 7 27.00 189.00 1,629.00
Sokowski, T. S 2 8 8 8 8 8 8 8 8 8 8 80 2,050.00 2,050.00
Pham, N. S 1 8 8 7 8 4 4 8 8 8 4 71 14.00 994.00 994.00
Woods, B. S 1 8 8 8 8 8 8 8 8 8 8 80 1,200.00 1,200.00
Young, P. S 1 8 8 8 8 8 8 8 8 8 8 80 1,260.00 1,260.00

TOTALS 100,539.69 611.40 101,151.09

101,151.09

181,917.47
98846.14
83,071.33
173,279.06
179,523.47
171,273.47
 171,273.47
Joseph
GLO-BRITE PAINT COMPANY

Deductions Net Paid Taxable Ea

Ck.
OASDI HI FIT SIT SUTA CIT Group Ins. Union Dues SIMPLE No. Amount OASDI

87.30 20.42 31.00 43.23 0.84 54.64 8.00 672 1,162.57 1,408.00
139.50 32.63 104.00 69.08 1.35 87.32 673 1,816.12 2,250.00
75.64 17.69 83.00 37.45 0.73 47.35 674 958.14 1,220.00
83.70 19.58 25.00 41.45 0.81 52.39 675 1,127.07 1,350.00
143.08 33.46 150.00 70.85 1.38 89.56 676 1,819.36 2,307.69
74.40 17.40 99.00 36.84 0.72 46.57 677 925.07 1,200.00
89.28 20.88 33.00 44.21 0.86 55.88 8.00 678 1,187.89 1,440.00
127.10 29.73 138.00 62.94 1.23 79.56 679 1,611.44 2,050.00
62.50 14.62 75.00 30.95 0.60 39.12 680 785.21 1,008.00
75.83 17.73 121.00 37.55 0.73 47.47 681 922.77 1,223.08

958.33 224.14 859.00 474.55 9.25 599.86 0.00 16.00 0.00 12,315.64 15,456.77
958.31974

93.84 21.95 41.00 46.47 0.91 58.74 16.50 8.00 682 1,226.19 1,513.60
139.50 32.63 104.00 69.08 1.35 87.32 26.40 683 1,789.72 2,250.00
75.64 17.69 83.00 37.45 0.73 47.35 14.40 684 943.74 1,220.00
83.70 19.58 25.00 41.45 0.81 52.39 15.90 685 1,111.17 1,350.00
143.08 33.46 150.00 70.85 1.38 89.56 27.00 686 1,792.36 2,307.69
74.40 17.40 99.00 36.84 0.72 46.57 14.10 687 910.97 1,200.00
102.67 24.01 55.00 50.84 0.99 64.27 16.80 8.00 688 1,333.42 1,656.00
127.10 29.73 138.00 62.94 1.23 79.56 24.00 689 1,587.44 2,050.00
62.50 14.62 75.00 30.95 0.60 39.12 11.70 690 773.51 1,008.00
75.83 17.73 121.00 37.55 0.73 47.47 14.40 691 908.37 1,223.08
0.00 0.00 0.00 0.00 0.00 0.00 0.00
978.26 228.80 891.00 484.42 9.45 612.35 181.20 16.00 0.00 12,376.89 15,778.37
978.25894

87.30 20.42 31.00 43.23 0.84 54.64 8.00 692 1,162.57 1,408.00
 139.50 32.63 104.00 69.08 1.35 87.32 693 1,816.12 2,250.00
75.64 17.69 83.00 37.45 0.73 47.35 694 958.14 1,220.00
83.70 19.58 93.00 41.45 0.81 52.39 695 1,059.07 1,350.00
143.08 33.46 150.00 70.85 1.38 89.56 696 1,819.36 2,307.69
72.54 16.97 78.00 35.92 0.70 45.41 697 920.46 1,170.00
89.28 20.88 33.00 44.21 0.86 55.88 8.00 698 1,187.89 1,440.00
127.10 29.73 190.00 62.94 1.23 79.56 699 1,559.44 2,050.00
62.50 14.62 75.00 30.95 0.60 39.12 700 785.21 1,008.00
74.89 17.51 119.00 37.08 0.72 46.88 701 911.77 1,207.85

955.53 223.49 956.00 473.16 9.22 598.11 0.00 16.00 0.00 12,180.03 15,411.54
955.51548 12,180.03

128.92 30.15 266.00 63.84 1.25 80.70 14.40 702 1,494.06 2,079.32

128.92 30.15 266.00 63.84 1.25 80.70 14.40 0.00 0.00 1,494.06 2,079.32
128.91784 Deductions Net Paid Taxable Ea

Ck.
OASDI HI FIT SIT SUTA CIT Group Ins. Union Dues SIMPLE No. Amount OASDI

69.84 16.33 3.00 34.58 0.68 43.71 16.50 8.00 703 933.76 1,126.40
139.50 32.63 49.00 69.08 1.35 87.32 26.40 500.00 704 1,344.72 2,250.00
75.64 17.69 83.00 37.45 0.73 47.35 14.40 705 943.74 1,220.00
83.70 19.58 64.00 41.45 0.81 52.39 15.90 250.00 706 822.17 1,350.00
143.08 33.46 68.00 70.85 1.38 89.56 27.00 700.00 707 1,174.36 2,307.69
72.54 16.97 78.00 35.92 0.70 45.41 14.10 708 906.36 1,170.00
89.28 20.88 13.00 44.21 0.86 55.88 16.80 8.00 200.00 709 991.09 1,440.00
127.10 29.73 190.00 62.94 1.23 79.56 24.00 710 1,535.44 2,050.00
62.50 14.62 75.00 30.95 0.60 39.12 11.70 711 773.51 1,008.00

863.18 201.89 623.00 427.43 8.34 540.30 166.80 16.00 1,650.00 9,425.15 13,922.09
863.16958

104.76 24.50 59.00 51.87 1.01 65.57 8.00 712 1,374.89 1,689.60
139.50 32.63 49.00 69.08 1.35 87.32 500.00 713 1,371.12 2,250.00
 79.36 18.56 90.00 39.30 0.77 49.68 714 1,002.33 1,280.00
83.70 19.58 64.00 41.45 0.81 52.39 250.00 715 838.07 1,350.00
143.08 33.46 68.00 70.85 1.38 89.56 700.00 716 1,201.36 2,307.69
78.12 18.27 87.00 38.68 0.76 48.90 717 988.27 1,260.00
89.84 21.01 15.00 44.48 0.87 56.23 8.00 200.00 718 1,013.57 1,449.00
127.10 29.73 190.00 62.94 1.23 79.56 719 1,559.44 2,050.00
62.50 14.62 75.00 30.95 0.60 39.12 720 785.21 1,008.00
66.96 15.66 85.00 33.16 0.65 41.91 721 836.66 1,080.00

974.92 228.02 782.00 482.76 9.43 610.24 0.00 16.00 1,650.00 10,970.92 15,724.29
974.90598 610.24 10970.92

148.43 34.71 1.44 14.70 722 2,194.72 2,394.00

148.43 34.71 0.00 0.00 1.44 0.00 14.70 0.00 0.00 2,194.72 2,394.00
148.428 0 2194.72

113.48 26.54 57.00 56.19 1.10 71.04 16.50 9.00 723 1,479.55 1,830.40
139.50 32.63 49.00 69.08 1.35 87.32 26.40 500.00 724 1,344.72 2,250.00
79.36 18.56 90.00 39.30 0.77 49.68 15.00 725 987.33 1,280.00
83.70 19.58 64.00 41.45 0.81 52.39 15.90 250.00 726 822.17 1,350.00
4,877.48 1,265.96 28,037.71 2,680.35 52.38 3,388.32 27.00 4,000.00 727 42,978.49 78,669.28
101.00 23.62 33.00 50.01 0.98 63.22 16.80 9.00 200.00 728 1,131.37 1,629.00
127.10 29.73 190.00 62.94 1.23 79.56 24.00 729 1,535.44 2,050.00
61.63 14.41 75.00 30.52 0.60 38.58 11.70 730 761.56 994.00
74.40 17.40 99.00 36.84 0.72 46.57 14.10 731 910.97 1,200.00
78.12 18.27 107.00 38.68 0.76 48.90 14.70 732 953.57 1,260.00

5,735.77 1,466.70 28,801.71 3,105.36 60.70 3,925.58 182.10 18.00 4,950.00 52,905.17 92,512.68
78,669.28 28,037.71 52,905.17
Oneil
10,743.34 5,511.52 109.08 Joseph 90,207.73
5,733.33 8,394.00 112973.47 All 173,279.06
10743.3017

8,250.00
 Taxable Earnings Labor Cost Distribution

HI FUTA SUTA Admin. Office Sales Plant Cumulative FUTA SUTA

1,408.00 1,408.00 11,322.00

2,250.00 2,250.00 23,125.00
1,220.00 700.00 1,220.00 1,220.00 6,300.00 700.00 1,220.00
1,350.00 1,350.00 1,350.00 1,350.00 5,400.00 1,350.00 1,350.00
2,307.69 2,307.69 42,692.27
1,200.00 760.00 1,200.00 1,200.00 6,240.00 760.00 1,200.00
1,440.00 1,440.00 14,685.30
2,050.00 2,050.00 16,650.00
1,008.00 1,008.00 1,008.00 1,008.00 5,550.00 1,008.00 1,008.00
1,223.08 1,223.08 10,260.00
3818 4778
15,456.77 3,818.00 4,778.00 2,307.69 4,651.08 3,600.00 4,898.00 22.91 176.26

1,513.60 1,513.60 12,730.00

2,250.00 2,250.00 25,375.00
1,220.00 1,220.00 1,220.00 7,520.00 1,220.00
1,350.00 250.00 1,350.00 1,350.00 6,750.00 250.00 1,350.00
2,307.69 2,307.69 44,999.96
1,200.00 1,200.00 1,200.00 7,440.00 1,200.00
1,656.00 1,656.00 16,125.30
2,050.00 2,050.00 18,700.00
1,008.00 442.00 1,008.00 1,008.00 6,558.00 442.00 1,008.00
1,223.08 1,223.08 11,483.08
0.00 692 4778
15,778.37 692.00 4,778.00 2,307.69 4,651.08 3,600.00 5,219.60 4.15 176.26

1,408.00 1,408.00 14,243.60

 2,250.00 2,250.00 27,625.00
1,220.00 1,220.00 1,220.00 8,740.00 1,220.00
1,350.00 1,350.00 1,350.00 8,100.00 1,350.00
2,307.69 2,307.69 47,307.65
1,170.00 1,170.00 1,170.00 8,640.00 1,170.00
1,440.00 1,440.00 17,781.30
2,050.00 2,050.00 20,750.00
1,008.00 1,008.00 1,008.00 7,566.00 1,008.00
1,207.85 1,207.85 12,706.16
4748
15,411.54 0.00 4,748.00 2,307.69 4,605.85 3,600.00 4,898.00

2,079.32 2,079.32

2,079.32 0.00 0.00 0.00 2,079.32 0.00 0.00

Taxable Earnings Labor Cost Distribution

HI FUTA SUTA Admin. Office Sales Plant

FIT
1,126.40 1,126.40 15,651.60 1,126.40
2,250.00 2,250.00 29,875.00 1,750.00
1,220.00 40.00 1,220.00 9,960.00 40.00 1,220.00
1,350.00 550.00 1,350.00 9,450.00 550.00 1,100.00
2,307.69 2,307.69 49,615.34 1,607.69
1,170.00 190.00 1,170.00 9,810.00 190.00 1,170.00
1,440.00 1,440.00 19,221.30 1,240.00
2,050.00 2,050.00 22,800.00 2,050.00
1,008.00 1,008.00 1,008.00 8,574.00 1,008.00 1,008.00
1788
13,922.09 0.00 1,788.00 2,307.69 3,398.00 3,600.00 4,616.40

1,689.60 1,689.60 16,778.00 1,689.60

2,250.00 2,250.00 32,125.00 1,750.00
 1,280.00 1,280.00 11,180.00 1,280.00
1,350.00 1,350.00 10,800.00 1,100.00
2,307.69 2,307.69 51,923.03 1,607.69
1,260.00 1,260.00 10,980.00 1,260.00
1,449.00 1,449.00 20,661.30 1,249.00
2,050.00 2,050.00 24,850.00 2,050.00
1,008.00 418.00 1,008.00 9,582.00 418.00 1,008.00
1,080.00 1,080.00 1,080.00 1,080.00 - 1,080.00

15,724.29 1,080.00 1,498.00 2,307.69 4,628.00 3,600.00 5,188.60

2,394.00 2,394.00

2,394.00 0.00 0.00 0.00 2,394.00 0.00 0.00

1,830.40 1,830.40 18,467.60 1,830.40

2,250.00 2,250.00 34,375.00 1,750.00
1,280.00 1,280.00 12,460.00 1,280.00
1,350.00 1,350.00 12,150.00 1,100.00
87,307.69 87,307.69 54,230.72 83,307.69
1,629.00 1,629.00 22,110.30 1,429.00
2,050.00 2,050.00 26,900.00 2,050.00
994.00 994.00 10,590.00 994.00
1,200.00 1,200.00 1,200.00 1,200.00 1,080.00 1200 1200 1,200.00
1,260.00 1,260.00 1,260.00 1,260.00 - 1260 1260 1,260.00

101,151.09 2,460.00 2,460.00 87,307.69 3,474.00 4,860.00 5,509.40

98,846.14
181,917.47 8,050.00 20,050.00
2637.80331 48.30 739.64
M 4 3 3.00
M 5 49 49.00
S 2 83 83.00
M 0 64 64.00
M 3 68 68.00
S 2 78 78.00
M 4 13 46.00
S 2 190
S 1 75

M 4 59
M 5 49
S 2 90
M 0 64
M 3 68
S 2 87
M 4 15
S 2 190
S 1 75
S 1 85

M 5 57
M 5 49
S 2 90
M 0 64
M 4 28037.71
M 4 33
S 2 190
S 1 75
S 1 99
S 1 107
82661.69
 JOURNAL Page 41

POST.
DATE DESCRIPTION REF. DEBIT CREDIT
20--
Oct. 9 Payroll Cash 12 12,315.64
Cash 11 12,315.64

9 Administrative Salaries 51 2,307.69

Office Salaries 52 4,651.08
Sales Salaries 53 3,600.00
Plant Wages 54 4,898.00
FICA Taxes Payable - OASDI 20.1 958.33
FICA Taxes Payable - HI 20.2 224.14
Employees FIT Payable 24 859.00
Employees SIT Payable 25 474.55
Employees SUTA Payable 25.1 9.25
Employees CIT Payable 26 599.86
Union Dues Payable 28 16.00
Payroll Cash 12 12,315.64

9 Payroll Taxes 56 1,381.61

FICA Taxes Payable - OASDI 20.1 958.32
FICA Taxes Payable - HI 20.2 224.12
FUTA Taxes Payable 21 22.91
SUTA Taxes Payable - Employer 22 176.26

20 Employees SIT Payable 25 474.55

Cash 11 474.55

Oct 20-- 23 Payroll Cash 12 12,376.89

Cash 11 12,376.89

23 Administrative Salaries 51 2,307.69

Office Salaries 52 4,651.08
Sales Salaries 53 3,600.00
Plant Wages 54 5,219.60
FICA Taxes Payable - OASDI 20.1 978.26
FICA Taxes Payable - HI 20.2 228.80
Employees FIT Payable 24 891.00
Employees SIT Payable 25 484.42
Employees SUTA Payable 25.1 9.45
Employees CIT Payable 26 612.35
Group Insurance Premiums Collected 27 181.20
Union Dues Payable 28 16.00
Payroll Cash 12 12,376.89
ACCOUNT: FICA TAXES PAYABLE - HI ACCOUNT

POST. BALANCE
DATE ITEM REF. DEBIT CREDIT DEBIT
20--
Oct. 9 J41 224.14
9 J41 224.12
23 J41 228.80
23 J42 228.79
Nov. 6 J42 223.49
6 J42 223.47
13 J43 30.15
13 J43 30.15
16 J44 905.85
20 J44 201.89
20 J45 201.87
Dec 4 J45 228.02
4 J45 228.00
14 J46 34.71
14 J46 34.71
15 J46 911.02
18 J47 1,466.69
18 J47 1,466.70

ACCOUNT: FUTA TAXES PAYABLE ACCOUNT

POST. BALANCE
DATE ITEM REF. DEBIT CREDIT DEBIT
20--
Oct. 1 Balance a
9 J41 22.91
23 J42 4.15
Dec 4 J47 6.48
Dec 18 J47 14.76

ACCOUNT: SUTA TAXES PAYABLE - EMPLOYER ACCOUNT

POST. BALANCE
DATE ITEM REF. DEBIT CREDIT DEBIT
20--
Oct. 9 J41 176.26
23 J42 176.26
Nov. 6 J42 175.15
20 J45 65.96
Dec 4 J45 55.26
18 J46 90.75
 NO. 20.2

BALANCE
CREDIT

224.14
448.26
677.06
905.85
1,129.34
1,352.81
1,382.96
1,413.11
507.26
709.15
911.02
1,139.04
1,367.04
1,401.75
1,436.46
525.44
1,992.13
3,458.83

NO. 21

BALANCE
CREDIT

392.94
415.85
420.00
426.48
441.24

NO. 22

BALANCE
CREDIT

176.26
352.52
527.67
593.63
648.89
739.64
DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Plant Mixer Operator PA x 000-00-3481 BONNO Anthony
OTHER DEDUCTIONS INFORMATION SALARY $
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $
HOURLY RATE $
$55,000 --$.30/M $8 each pay OVERTIME RATE $
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 10,293.40 1,028.60 11,322.00 701.96 164.17 810.00 347.59 6.79 440.51
1 10/9 80 17.60 1,408.00 0.00 12,730.00 87.30 20.42 31.00 43.23 0.84 54.64
2 10/23 80 17.60 1,408.00 4 26.40 105.60 14,243.60 93.84 21.95 41.00 46.47 0.91 58.74
3 11/6 80 17.60 1,408.00 0.00 15,651.60 87.30 20.42 31.00 43.23 0.84 54.64
4 11/20 64 17.60 1,126.40 0.00 16,778.00 69.84 16.33 34.58 0.68 43.82
5 12/4 80 17.60 1,408.00 8 35.20 281.60 18,467.60 104.76 24.50 51.87 1.01 65.74
6 12/18 80 17.60 1,408.00 12 35.20 422.40 20,298.00 113.48 26.54 56.19 1.10 71.22
QTR. TOT. 464 8,166.40 809.60 8,976.00 556.52 130.16 103.00 275.57 5.38 348.80
YR. TOT. 18,459.80 1,838.20 20,298.00 1,258.48 294.33 913.00 623.16 12.17 789.31
Checkpoint 8,976.00 20,298.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Sales Sales Manager PA x 000-00-8645 FERGUSON James
OTHER DEDUCTIONS INFORMATION SALARY $ 58,500 /yr.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 1,125.00
HOURLY RATE $ 28.13
$88,000 -- $.30/M OVERTIME RATE $
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 23,125.00 23,125.00 1,433.75 335.31 2,291.00 709.94 13.88 899.72

1 10/9 80 2,250.00 25,375.00 139.50 32.63 104.00 69.08 1.35 87.54
2 10/23 80 2,250.00 27,625.00 139.50 32.63 107.00 69.08 1.35 87.54
3 11/6 80 2,250.00 29,875.00 139.50 32.63 107.00 69.08 1.35 87.54
4 11/20 80 2,250.00 32,125.00 139.50 32.63 51.00 69.08 1.35 87.54
5 12/4 80 2,250.00 34,375.00 139.50 32.63 51.00 69.08 1.35 87.54
6 12/18 80 2,250.00 36,625.00 139.50 32.63 51.00 69.08 1.35 87.54
QTR. TOT. 480 13,500.00 13,500.00 837.00 195.78 471.00 414.45 8.10 525.24
YR. TOT. 36,625.00 36,625.00 2,270.75 531.09 2,762.00 1,124.39 21.98 1,424.96
Checkpoint 13,500.00 36,625.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Office Executive Secretary PA x 000-00-4567 FORD Catherine
OTHER DEDUCTIONS INFORMATION SALARY $ 2,773.33 /mo.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 640.00
HOURLY RATE $ 16.00
$50,000--$.30/M OVERTIME RATE $ 24.00
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 6,300.00 6,300.00 390.60 91.35 639.00 193.41 3.78 245.11

1 10/9 80 1,220.00 7,520.00 75.64 17.69 83.00 37.45 0.73 47.47
2 10/23 80 1,220.00 8,740.00 75.64 17.69 85.00 37.45 0.73 47.47
3 11/6 80 1,220.00 9,960.00 75.64 17.69 85.00 37.45 0.73 47.47
4 11/20 80 1,220.00 11,180.00 75.64 17.69 85.00 37.45 0.73 47.47
5 12/4 80 1,280.00 12,460.00 79.36 18.56 92.00 39.30 0.77 49.80
6 12/18 80 1,280.00 13,740.00 79.36 18.56 92.00 39.30 0.77 49.80
QTR. TOT. 480 7,440.00 7,440.00 461.28 107.88 522.00 228.41 4.46 289.47
YR. TOT. 13,740.00 13,740.00 851.88 199.23 1,161.00 421.82 8.24 534.58
Checkpoint 7,440.00 13,740.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Sales Sales Representative PA x 000-00-9352 MANN Dewey
OTHER DEDUCTIONS INFORMATION SALARY $ 2,925 /mo.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 675.00
HOURLY RATE $ 16.88
$53,000 -- $.30/M
 $53,000 -- $.30/M OVERTIME RATE $
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 5,400.00 5,400.00 334.80 78.30 332.00 165.78 3.24 210.10

1 10/9 80 1,350.00 6,750.00 83.70 19.58 25.00 41.45 0.81 52.52
2 10/23 80 1,350.00 8,100.00 83.70 19.58 27.00 41.45 0.81 52.52
3 11/6 80 1,350.00 9,450.00 83.70 19.58 95.00 41.45 0.81 52.52
4 11/20 80 1,350.00 10,800.00 83.70 19.58 65.00 41.45 0.81 52.52
5 12/4 80 1,350.00 12,150.00 83.70 19.58 65.00 41.45 0.81 52.52
6 12/18 80 1,350.00 13,500.00 83.70 19.58 65.00 41.45 0.81 52.52
QTR. TOT. 480 8,100.00 8,100.00 502.20 117.45 342.00 248.67 4.86 315.15
YR. TOT. 13,500.00 13,500.00 837.00 195.75 674.00 414.45 8.10 525.25
Checkpoint 8,100.00 13,500.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST

Admini- M F
strative President PA x 000-00-1534 O'NEILL Joseph
OTHER DEDUCTIONS INFORMATION SALARY $ 60,000 /yr.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 1,153.85 bi-wkly $2,307.69
HOURLY RATE $ 28.85
$90,000 -- $.30/M OVERTIME RATE $
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 42,692.27 42,692.27 2,646.92 619.04 6,116.00 1,310.65 25.62 1,661.03

1 10/9 80 2,307.69 44,999.96 143.08 33.46 150.00 70.85 1.38 89.79
2 10/23 80 2,307.69 47,307.65 143.08 33.46 152.00 70.85 1.38 89.79
3 11/6 80 2,307.69 49,615.34 143.08 33.46 152.00 70.85 1.38 89.79
4 11/20 80 2,307.69 51,923.03 143.08 33.46 69.00 70.85 1.38 89.79
5 12/4 80 2,307.69 54,230.72 143.08 33.46 69.00 70.85 1.38 89.79
6 12/18 80 77,307.69 131,538.41 4,877.48 1,120.96 24,391.71 2,373.35 46.38 3,007.81
QTR. TOT. 480 88,846.14 88,846.14 5,592.86 1,288.27 24,983.71 2,727.58 53.31 3,456.74
YR. TOT. 131,538.41 131,538.41 8,239.78 1,907.31 31,099.71 4,038.23 78.93 5,117.77
Checkpoint 88,846.14 131,538.41 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Office Time Clerk PA x 000-00-6337 RUSSELL Virginia
OTHER DEDUCTIONS INFORMATION SALARY $ 2,730 /mo.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 630.00
HOURLY RATE $ 15.75
$49,000 -- $.30/M OVERTIME RATE $ 23.63
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 6,240.00 6,240.00 386.88 90.48 642.00 191.56 3.74 242.78

1 10/9 80 1,200.00 7,440.00 74.40 17.40 99.00 36.84 0.72 46.69
2 10/23 80 1,200.00 8,640.00 74.40 17.40 102.00 36.84 0.72 46.69
3 11/6 78 1,170.00 9,810.00 72.54 16.97 78.00 35.92 0.70 45.52
4 11/20 78 1,170.00 10,980.00 72.54 16.97 78.00 35.92 0.70 45.52
5 12/4 80 1,260.00 12,240.00 78.12 18.27 90.00 38.68 0.76 49.02
6 12/14 40 2,394.00 14,634.00 148.43 34.71 0.00 1.44
QTR. TOT. 436 8,394.00 8,394.00 520.43 121.71 447.00 184.20 5.04 233.44
YR. TOT. 14,634.00 14,634.00 907.31 212.19 1,089.00 375.76 8.78 476.22
Checkpoint 8,394.00 14,634.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Plant Electrician PA x 000-00-1223 RYAN Norman
OTHER DEDUCTIONS INFORMATION SALARY $
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $
HOURLY RATE $ 18.00
$56,000 -- $.30/M $8 each pay OVERTIME RATE $ 27.00
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT FIT SIT SUTA CIT
 HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 13,287.50 1,397.80 14,685.30 910.49 212.94 1,070.00 450.84 8.81 571.36
1 10/9 80 18.00 1,440.00 0.00 16,125.30 89.28 20.88 33.00 44.21 0.86 56.03
2 10/23 80 18.00 1,440.00 8 27.00 216.00 17,781.30 102.67 24.01 57.00 50.84 0.99 64.43
3 11/6 80 18.00 1,440.00 0.00 19,221.30 89.28 20.88 35.00 44.21 0.86 56.03
4 11/20 80 18.00 1,440.00 0.00 20,661.30 89.28 20.88 15.00 44.21 0.86 56.03
5 12/4 76 18.00 1,368.00 3 27.00 81.00 22,110.30 89.84 21.01 17.00 44.48 0.87 56.38
6 12/18 80 18.00 1,440.00 7 27.00 189.00 23,739.30 101.00 23.62 35.00 50.01 0.98 63.38
QTR. TOT. 476 8,568.00 486.00 9,054.00 561.35 131.28 192.00 277.96 5.43 352.26
YR. TOT. 21,855.50 1,883.80 23,739.30 1,471.84 344.22 1,262.00 728.80 14.24 923.62
Checkpoint 9,054.00 23,739.30 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Plant Supervisor PA x 000-00-8832 SOKOWSKI Thomas
OTHER DEDUCTIONS INFORMATION SALARY $
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 1,025.00
HOURLY RATE $ 25.63
$80,000 -- $.30/M OVERTIME RATE $
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 16,650.00 16,650.00 1,032.30 241.43 2,002.00 511.16 9.99 647.80

1 10/9 80 2,050.00 18,700.00 127.10 29.73 138.00 62.94 1.23 79.76
2 10/23 80 2,050.00 20,750.00 127.10 29.73 140.00 62.94 1.23 79.76
3 11/6 80 2,050.00 22,800.00 127.10 29.73 193.00 62.94 1.23 79.76
4 11/20 80 2,050.00 24,850.00 127.10 29.73 193.00 62.94 1.23 79.76
5 12/4 80 2,050.00 26,900.00 127.10 29.73 193.00 62.94 1.23 79.76
6 12/18 80 2,050.00 28,950.00 127.10 29.73 193.00 62.94 1.23 79.76
QTR. TOT. 480 12,300.00 12,300.00 762.60 178.35 1,050.00 377.61 7.38 478.56
YR. TOT. 28,950.00 28,950.00 1,794.90 419.78 3,052.00 888.77 17.37 1,126.36
Checkpoint 12,300.00 28,950.00 Checkpoint
DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Office Accounting Trainee PA Student
OTHER DEDUCTIONS INFORMATION SALARY $
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $
HOURLY RATE $ 14.00
$39,000 -- $.30/M OVERTIME RATE $ 21.00
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 5,550.00 5,550.00 344.10 80.48 409.00 170.38 3.33 215.93

1 10/9 72 14.00 1,008.00 6,558.00 62.50 14.62 75.00 30.95 0.60 39.22
2 10/23 72 14.00 1,008.00 7,566.00 62.50 14.62 78.00 30.95 0.60 39.22
3 11/6 72 14.00 1,008.00 8,574.00 62.50 14.62 78.00 30.95 0.60 39.22
4 11/20 72 14.00 1,008.00 9,582.00 62.50 14.62 78.00 30.95 0.60 39.22
5 12/4 72 14.00 1,008.00 10,590.00 62.50 14.62 78.00 30.95 0.60 39.22
6 12/18 71 14.00 994.00 11,584.00 61.63 14.41 75.00 30.52 0.60 38.67
QTR. TOT. 431 6,034.00 6,034.00 374.11 87.49 462.00 185.24 3.62 234.76
YR. TOT. 11,584.00 11,584.00 718.21 167.97 871.00 355.62 6.95 450.69
Checkpoint 6,034.00 11,584.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Office Programmer PA x 000-00-6741 WILLIAMS Ruth
OTHER DEDUCTIONS INFORMATION SALARY $ 2,650 /mo.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 611.54
HOURLY RATE $ 15.29
$48,000 -- $.30/M OVERTIME RATE $ 22.94
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE 10,260.00 10,260.00 636.12 148.77 1,606.00 314.98 6.16 399.19

1 10/9 80 1,223.08 11,483.08 75.83 17.73 121.00 37.55 0.73 47.59
2 10/23 80 1,223.08 12,706.16 75.83 17.73 123.00 37.55 0.73 47.59
3 11/6 79 1,207.85 13,914.01 74.89 17.51 121.00 37.08 0.72 46.99
4 11/13 72 2,079.32 15,993.33 128.92 30.15 268.00 63.84 1.25 80.90
5
6
QTR. TOT. 311 5,733.33 5,733.33 355.47 83.13 633.00 176.01 3.44 223.07
YR. TOT. 15,993.33 15,993.33 991.59 231.90 2,239.00 490.99 9.60 622.26
Checkpoint 5,733.33 15,993.33 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Office Programmer PA x 000-00-1587 WOODS Beth
OTHER DEDUCTIONS INFORMATION SALARY $ 2,600 /mo.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 600.00
HOURLY RATE $ 15.00
$47,000 -- $.30/M OVERTIME RATE $ 22.50
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE

1
2
3
4
5 12/4 72 15.00 1,080.00 1,080.00 66.96 15.66 87.00 33.16 0.65 42.02
6 12/18 80 15.00 1,200.00 2,280.00 74.40 17.40 102.00 36.84 0.72 46.69
QTR. TOT. 152 2,280.00 2,280.00 141.36 33.06 189.00 70.00 1.37 88.71
YR. TOT. 2,280.00 2,280.00 141.36 33.06 189.00 70.00 1.37 88.71
Checkpoint 2,280.00 2,280.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Sales Sales Representative PA x 000-00-6057 Young Paul
 OTHER DEDUCTIONS INFORMATION SALARY $ 2,730 /mo.
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 630.00
HOURLY RATE $ 15.75
$49,000 -- $.30/M OVERTIME RATE $ 23.63
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE

1
2
3
4
5
6 12/18 80 1,260.00 1,260.00 78.12 18.27 109.00 38.68 0.76 49.02
QTR. TOT. 80 1,260.00 1,260.00 78.12 18.27 109.00 38.68 0.76 49.02
YR. TOT. 1,260.00 1,260.00 78.12 18.27 109.00 38.68 0.76 49.02
Checkpoint 1,260.00 1,260.00 Checkpoint

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F
Office Time Clerk PA x 000-00-1502 Zimmerman Richard
OTHER DEDUCTIONS INFORMATION SALARY $ 2,600
GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $ 600.00
HOURLY RATE $ 15.00
$47,000 -- $.30/M OVERTIME RATE $ 22.50
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE

1
2
3
4
5
6
QTR. TOT.
YR. TOT.

DEPARTMENT OCCUPATION WORKS IN (STATE) SEX S.S. ACCOUNT NO. NAME - LAST FIRST
M F

OTHER DEDUCTIONS INFORMATION SALARY $

GROUP INSURANCE UNION DUES OTHER WEEKLY RATE $
HOURLY RATE $
OVERTIME RATE $
20___ REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS
PAYDAY EARNINGS FICA
HRS. RATE AMOUNT HRS. RATE AMOUNT OASDI HI FIT SIT SUTA CIT

YEAR-TO-DATE

1
2
3
4
5
6
QTR. TOT.
YR. TOT.
 MIDDLE

Victor
W/H MARITAL
ALLOW. STATUS

5 M
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
0.00 216.80 8,634.18
0.00 8.00 672 1,162.57
24.50 682 1,226.19
8.00 692 1,162.57
24.50 702 936.65
8.00 1,433.72
25.50 1,536.37
0.00 98.50 7,458.07
0.00 315.30 16,092.25
Checkpoint 7,326.64 15,960.82

MIDDLE

Claude
W/H MARITAL
ALLOW. STATUS

5 M
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
132.30 17,309.10
673 1,815.90
26.40 683 1,786.50
693 1,812.90
500.00 26.40 703 1,342.50
 500.00 1,368.90
500.00 26.40 1,342.50
1,500.00 79.20 9,469.23
1,500.00 211.50 26,778.33
9,466.20 26,775.30

MIDDLE

Louise
W/H MARITAL
ALLOW. STATUS

2 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
37.80 4,698.95
674 958.02
14.40 684 941.62
694 956.02
14.40 704 941.62
1,000.22
15.00 985.22
43.80 5,782.70
81.60 10,481.65
Checkpoint 5,780.70 10,479.65

MIDDLE

Wilson
W/H MARITAL
ALLOW. STATUS

0 M
 0 M
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
31.50 4,244.28
675 1,126.95
15.90 685 1,109.05
695 1,056.95
250.00 15.90 705 821.05
250.00 836.95
250.00 15.90 821.05
750.00 47.70 5,771.97
750.00 79.20 10,016.25
Checkpoint 5,769.94 10,014.22

MIDDLE

Tyler
W/H MARITAL
bi-wkly $2,307.69 ALLOW. STATUS

4 M
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
202.50 30,110.51
676 1,819.14
27.00 686 1,790.14
696 1,817.14
700.00 27.00 706 1,173.14
700.00 1,200.14
4,000.00 27.00 37,463.00
5,400.00 81.00 45,262.68
 5,400.00 283.50 75,373.19
Checkpoint 45,539.65 75,650.16

MIDDLE

Aloise. **(deceased)
W/H MARITAL
ALLOW. STATUS

2 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
31.50 4,651.06
677 924.95
14.10 687 907.85
697 920.35
14.10 707 906.25
985.15
14.70 2,194.72
42.90 6,839.28
74.40 11,490.34
Checkpoint 6,836.27 11,487.33

MIDDLE

Allen
W/H MARITAL
ALLOW. STATUS

4 M
NET PAID
OTHER CK.
SIMPLE
 SIMPLE DEDUCTIONS NO. AMOUNT
235.70 11,225.16
8.00 678 1,187.74
24.80 688 1,331.25
8.00 698 1,185.74
200.00 24.80 708 988.94
200.00 8.00 1,011.42
200.00 25.80 1,129.21
600.00 99.40 6,834.31
600.00 335.10 18,059.47
Checkpoint 6,832.31 18,057.47

MIDDLE

James
W/H MARITAL
ALLOW. STATUS

2 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
94.50 12,110.82
679 1,611.25
24.00 689 1,585.25
699 1,556.25
24.00 1,532.25
1,556.25
24.00 1,532.25
72.00 9,373.50
166.50 21,484.32
Checkpoint 9,371.44 21,482.26
 MIDDLE

W/H MARITAL
ALLOW. STATUS

1 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
32.40 4,294.38
680 785.12
11.70 690 770.42
700 782.12
11.70 710 770.42
782.12
11.70 761.47
35.10 4,651.67
67.50 8,946.05
Checkpoint 4,648.62 8,943.00

MIDDLE

Virginia
W/H MARITAL
ALLOW. STATUS

0 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
59.40 7,089.38
681 922.65
 14.40 691 906.25
701 909.65
14.40 702 1,491.87

28.80 4,230.41
88.20 11,319.79
Checkpoint 4,228.42 11,317.80

MIDDLE

Anne
W/H MARITAL
ALLOW. STATUS

1 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT

834.56
14.10 907.85
14.10 1,742.41
14.10 1,742.41
Checkpoint 1,742.40 1,742.40

MIDDLE

W
 W/H MARITAL
ALLOW. STATUS

1 S
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT

14.70 951.45
14.70 951.45
14.70 951.45
Checkpoint 951.45 951.45

MIDDLE

L
W/H MARITAL
ALLOW. STATUS

1 M
NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
 MIDDLE

W/H MARITAL
ALLOW. STATUS

NET PAID
OTHER CK.
SIMPLE DEDUCTIONS NO. AMOUNT
Transaction 10

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 15,993.33

c Employer's name, address, and ZIP code 3 Social security wages

Glo-Brite Paint Company 15,993.33

2215 Salvador Street 5 Medicare wages and tips

Philadelphia, PA 19175-0682 15,993.33

7 Social security tips

d Control number 9
Suff.
e Employee's first name and initial Last name 11 Nonqualified plans

Ruth V. Williams 0
13 None

9433 STATE STREET 14 Other

PHILADELPHIA, PA 19149-0819 PA SUI 9.59

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 15,993.33

Transaction 24

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 12,240.00
c Employer's name, address, and ZIP code 3 Social security wages
Glo-Brite Paint Company 14,634.00
2215 Salvador Street 5 Medicare wages and tips
 Philadelphia, PA 19175-0682 14,634.00
7 Social security tips
0

d Control number 9
e Employee's first name and initial Last name Suff. 11 Nonqualified plans
Virginia A. Russell 0
13 None

8004 DOWLING ROAD 14 Other

PHILADELPHIA, PA 19135-9001 PA SUI 8.78

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 12,240.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 20,298.00

c Employer's name, address, and ZIP code 3 Social security wages

Glo-Brite Paint Company 20,298.00

2215 Salvador Street 5 Medicare wages and tips

Philadelphia, PA 19175-0682 20,298.00

7 Social security tips

d Control number 9
Suff.
e Employee's first name and initial Last name 11 Nonqualified plans

Anthony V. Bonno 0
13 None

694 BRISTOL AVENUE 14 Other

 PHILADELPHIA, PA 19135-0617 Union Dues 121.00, PA SUI 12.17

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 20,298.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 35,125.00
c Employer's name, address, and ZIP code 3 Social security wages
Glo-Brite Paint Company 36,625.00
2215 Salvador Street 5 Medicare wages and tips
Philadelphia, PA 19175-0682 36,625.00
7 Social security tips
0

d Control number 9
e Employee's first name and initial Last name Suff. 11 Nonqualified plans
James C. Ferguson 0
13 Retirement plan

808 SIXTH STREET 14 Other

PHILADELPHIA, PA 19106-0995 PA SUI 21.98

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 36,625.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 13,740.00

c Employer's name, address, and ZIP code 3 Social security wages

Glo-Brite Paint Company 13,740.00

 2215 Salvador Street 5 Medicare wages and tips

Philadelphia, PA 19175-0682 13,740.00

7 Social security tips

d Control number 9
Suff.
e Employee's first name and initial Last name 11 Nonqualified plans

Catherine L. Ford 0
13 None

18 DUNDEE AVENUE 14 Other

PHILADELPHIA, PA 19151-1919 PA SUI 8.24

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 13,740.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 12,750.00
c Employer's name, address, and ZIP code 3 Social security wages
Glo-Brite Paint Company 13,500.00
2215 Salvador Street 5 Medicare wages and tips
Philadelphia, PA 19175-0682 13,500.00
7 Social security tips
0

d Control number 9
e Employee's first name and initial Last name Suff. 11 Nonqualified plans
Dewey W. Mann 0
13 Retirement plan

3007 BISQUE DRIVE 14 Other

PHILADELPHIA, PA 19199-0718 PA SUI 8.10
f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 13,500.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 136,138.41

c Employer's name, address, and ZIP code 3 Social security wages

Glo-Brite Paint Company 132,900.00

2215 Salvador Street 5 Medicare wages and tips

Philadelphia, PA 19175-0682 141,538.41

7 Social security tips

d Control number 9
Suff.
e Employee's first name and initial Last name 11 Nonqualified plans

Joseph T. O'Neill 0
13 Retirement plan

2100 BROAD STREET 14 Other

PHILADELPHIA, PA 19121-7189 PA SUI 84.90

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 141,538.41

Transaction 38

22222 Void ☐
 22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 23,139.30
c Employer's name, address, and ZIP code 3 Social security wages
Glo-Brite Paint Company 23,739.30
2215 Salvador Street 5 Medicare wages and tips
Philadelphia, PA 19175-0682 23,739.30
7 Social security tips
0

d Control number 9
e Employee's first name and initial Last name Suff. 11 Nonqualified plans
Norman A. Ryan 0
13 Retirement plan

7300 HARRISON STREET 14 Other

PHILADELPHIA, PA 19124-6699 Union Dues 121.00, PA SUI 14.23

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 23,739.30

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 28,950.00

c Employer's name, address, and ZIP code 3 Social security wages

Glo-Brite Paint Company 28,950.00

2215 Salvador Street 5 Medicare wages and tips

Philadelphia, PA 19175-0682 28,950.00

7 Social security tips

d Control number 9
 Suff.
e Employee's first name and initial Last name 11 Nonqualified plans

Thomas J. Sokowski 0
13 None

133 CORNWELLS STREET 14 Other

PHILADELPHIA, PA 19171-5718 PA SUI 17.37

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 28,950.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 11,584.00
c Employer's name, address, and ZIP code 3 Social security wages
Glo-Brite Paint Company 11,584.00
2215 Salvador Street 5 Medicare wages and tips
Philadelphia, PA 19175-0682 11,584.00
7 Social security tips
0

d Control number 9
e Employee's first name and initial Last name Suff. 11 Nonqualified plans
Ngoc T. Pham 0
13 None

7018 ERDRICK STREET 14 Other

PHILADELPHIA, PA 19135-8517 PA SUI 6.93

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 11,584.00

38

22222 Void ☐
 22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 2,280.00

c Employer's name, address, and ZIP code 3 Social security wages

Glo-Brite Paint Company 2,280.00

2215 Salvador Street 5 Medicare wages and tips

Philadelphia, PA 19175-0682 2,280.00

7 Social security tips

d Control number 9
Suff.
e Employee's first name and initial Last name 11 Nonqualified plans

Beth A. Woods 0
13 None

8102 FRANKLIN COURT 14 Other

PHILADELPHIA, PA 19105-0915 PA SUI 1.37

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 2,280.00

Transaction 38

22222 Void ☐

b Employer identification number (EIN) 1 Wages, tips, other compensation

00-0000660 1,260.00
c Employer's name, address, and ZIP code 3 Social security wages
Glo-Brite Paint Company 1,260.00
2215 Salvador Street 5 Medicare wages and tips
Philadelphia, PA 19175-0682 1,260.00
7 Social security tips
0

d Control number 9
d Control number 9
e Employee's first name and initial Last name Suff. 11 Nonqualified plans
Paul W. Young 0
13 None

7936 HOLMES DRIVE 14 Other

PHILADELPHIA, PA 19107-6107 PA SUI 0.76

f Employee's address and ZIP code

15 State Employer's state ID number 16 State wages, tips, etc.

PA 000-0-3300 1,260.00

Transaction 39
a Control number
33333

b Kind of payer Kind of employer

941 None apply
b Total number of form W-2 d Establishment number 1 Wages, tips, other compensation
12 313,498.04
e Employer identification number (EIN) 3 Social security wages
00-0000660 315,503.63
f Employer's name 5 Medicare wages and tips
Glo-Brite Paint Company 324,142.04
7 Social security tips
0
2215 Salvador Street
Philadelphia, PA 19175-0682 9
g Employer's address and ZIP code 11 Nonqualified plans
0
h Other EIN used this year 13 For third party sick pay use only

15 State Employer's state ID number 14 Income tax withheld by payer of third-party sick
PA 000-0-3300 0
16 State 17 State income tax 18 Local wages, tips, etc.
321748.04 9877.81 321,748.04
Employer's contact person Employer's telephone number
Student (215) 555-9559
Employer's fax number Employer's email address

Under penalties of perjury, I declare that I have examined this return and accompanying docu
Signature Joseph T. O'Neill Title President
Form W-3 Transmittal of Wage and Tax Statements
20--
 a Employee's social security number For Official Use Only ▶
OMB No. 1545-0008
000-00-6741

r compensation 2 Federal income tax withheld

2,233.00

4 Social security tax withheld

991.59

6 Medicare tax withheld

231.89

8 Allocated tips

10 Dependent care benefits

12a See instructions for box 12

Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
491 15,993.33 620.7

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6337
r compensation 2 Federal income tax withheld
1,083.00
4 Social security tax withheld
907.31
6 Medicare tax withheld
 212.20
8 Allocated tips
0
10 Dependent care benefits
0

12a See instructions for box 12

Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
375.76 12,240.00 475.03

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-3481

r compensation 2 Federal income tax withheld

1,032.00

4 Social security tax withheld

1258.48

6 Medicare tax withheld

294.33

8 Allocated tips

10 Dependent care benefits

12a See instructions for box 12

Code
12b
Code
0, PA SUI 12.17 12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
623.16 20,298.00 787.74

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-8645
r compensation 2 Federal income tax withheld
2,750.00
4 Social security tax withheld
2270.75
6 Medicare tax withheld
531.09
8 Allocated tips
0
10 Dependent care benefits
0

12a See instructions for box 12

Code S
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
1124.42 36,625.00 1421.38

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6741

r compensation 2 Federal income tax withheld

1,151.00

4 Social security tax withheld

851.88
 6 Medicare tax withheld

199.23

8 Allocated tips

10 Dependent care benefits

12a See instructions for box 12

Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
421.81 13,740.00 533.26

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6337
r compensation 2 Federal income tax withheld
667.00
4 Social security tax withheld
837
6 Medicare tax withheld
195.78
8 Allocated tips
0
10 Dependent care benefits
0

12a See instructions for box 12

Code S
12b
Code
12c
 Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
414.48 13,500.00 523.91

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6741

r compensation 2 Federal income tax withheld

34,739.71

4 Social security tax withheld

8239.8

6 Medicare tax withheld

2,052.30

8 Allocated tips

10 Dependent care benefits

12a See instructions for box 12

Code S
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
4345.25 141,538.41 5492.96

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
 000-00-6337
r compensation 2 Federal income tax withheld
1,252.00
4 Social security tax withheld
1471.84
6 Medicare tax withheld
344.22
8 Allocated tips
0
10 Dependent care benefits
0

12a See instructions for box 12

Code S
12b
Code
1.00, PA SUI 14.23 12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
728.8 23,739.30 921.28

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6741

r compensation 2 Federal income tax withheld

3,038.00

4 Social security tax withheld

1794.9

6 Medicare tax withheld

419.81

8 Allocated tips

10 Dependent care benefits

0
 12a See instructions for box 12
Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
888.8 28,950.00 1123.53

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6337
r compensation 2 Federal income tax withheld
859.00
4 Social security tax withheld
718.23
6 Medicare tax withheld
167.99
8 Allocated tips
0
10 Dependent care benefits
0

12a See instructions for box 12

Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
355.65 11,584.00 449.57

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
 000-00-6741

r compensation 2 Federal income tax withheld

184.00

4 Social security tax withheld

141.36

6 Medicare tax withheld

33.06

8 Allocated tips

10 Dependent care benefits

12a See instructions for box 12

Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
70 2,280.00 88.48

a Employee's social security number For Official Use Only ▶

OMB No. 1545-0008
000-00-6337
r compensation 2 Federal income tax withheld
107.00
4 Social security tax withheld
78.12
6 Medicare tax withheld
18.27
8 Allocated tips
0
10 Dependent care benefits
 0

12a See instructions for box 12

Code
12b
Code
12c
Code
12d
Code

17 State income tax 18 Local wages, tips, etc. 19 Local income tax
38.68 1,260.00 48.9

For Official Use Only ▶

OMB No. 1545-0008

Third party sick pay

No
r compensation 2 Federal income tax withheld
49,095.71
4 Social security tax withheld
19561.26
6 Medicare tax withheld
4,700.17
8 Allocated tips
0
10 Dependent care benefits
0
12a Deferred compensation
8250
ick pay use only 12b

held by payer of third-party sick pay

19 Local income tax

12486.74
ephone number For Official Use Only

ail address

and accompanying documents and, to the best of my knowledge and belief, they are true, correct, and
Date 2/1/--
Department of the Treasury
Source: Internal Revenue Service
me tax withheld

y tax withheld

care benefits

20 Locality name
PHILA.

me tax withheld

y tax withheld
care benefits

20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits
 20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits

1500

20 Locality name
PHILA.

me tax withheld

y tax withheld
care benefits

20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits

750
 20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits

5400

20 Locality name
PHILA.
me tax withheld

y tax withheld

care benefits

600

20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits
 20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits

20 Locality name
PHILA.
me tax withheld

y tax withheld

care benefits

20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits
 20 Locality name
PHILA.

me tax withheld

y tax withheld

care benefits

compensation
(SIMPLE plan)

e and belief, they are true, correct, and complete.

 of the Treasury
ernal Revenue Service
Transaction 2
STATE FILING INFORMATION WORKSHEET

Company Name Glo-Brite Paint Company Payment Frequency Semiweekly

Employer Account # 000-0-3300 Gross Compensation 15,456.77
Employer ID # 000-0000660 PA Withholding Tax 474.55
Employer Password GBPCOM Credits
Quarter Ending Date 12/31/20-- Interest
Telephone Number (215) 555-9559 Payment

Transaction 36
FEDERAL DEPOSIT INFORMATION WORKSHEET
Employer Identification Number 00-0000660 Name
Month Tax Year Ends 12 Amount of Deposit
Type of Tax (Form) 940 Tax Period
Address 2215 Salvador St. Phone Number
City, State, Zip Philadelphia, PA 19175-0682
7-3c 2.

SIT State: 000-0000660

City: 000-0001855

CIT City Income Taxes

SIT State Income Taxes
SUTA State Unemployment Taxes
FICA Federal Insurance Contributions Act
FIT Federal Income Taxes
FUTA Federal Unemployment Taxes
(OASDI, HI)

Glo-Brite Paint Company

441.24
20--
(215) 555-9559
 a. Employee's social security number

b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withh

c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withh

5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Allocated tips

d Control number 9 10 Dependent care benefi

e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See intructions for box

13 Statutory Retirement Third-party 12b

employee plan sick pay

14 Other 12c

12d

f Employee's address and ZIP code

15 State 16 State wages, tips, etc 17 State income tax 18 Local wages, tips, etc 19 Local income tax
 ederal income tax withheld

ocial security tax withhld

Medicare tax withheld

llocated tips

Dependent care benefit

a See intructions for box 12

Local income tax 20 Locality name

No. 13
Prepare an employee’s earnings record for Beth Anne Woods
Department: Office
Weekly rate: $600.00
Hourly rate: $15.00

No. 29
Prepare an employee’s earnings record for Richard Lloyd Zimmerman
Department: Office
Weekly rate: $600.00
Hourly rate: $15.00

Transaction 36
Total wages for the first three quarters was $142,224.57. FUTA taxable w
Wages for the fouth quarter was 181,917.47. FUTA taxable wages for the fourth quarters was 8,050
--> Total wages for the year is 324,142.04
--> Total wages exceed 7,000: 250,602.04

FUTA tax liability by quarter:

1st quarter—$204.53
2nd quarter—$105.25
3rd quarter—$83.16
4th quarter
Williams Russell
1 Wages, tips, other compensation 15,993.33 12240
2 Federal income tax withheld 2,233.00 1083
3 Social security wages 15,993.33 14634
4 Social security tax withheld 991.59 907.31
5 Medicare wages and tips 15,993.33 14634
6 Medicare tax withheld 231.89 212.2
7 Social security tips - -
8 Allocated tips - -
9 none none
10 Dependent care benefits - -
11 Nonqualified plans - -
12a See instructions for box 12,b,c,d - -
13 None /Retirement plan, Code S None None
14 Other PA SUI 9.59 8.78
15 State PA PA
Employer's state ID number 000-0-3300 000-0-3300
16 State wages, tips, etc. 15,993.33 12240
17 State income tax 491.00 375.76
18 Local wages, tips, etc. 15,993.33 12240
19 Local income tax 620.70 475.03
20 Locality name PHILA. PHILA.
Anne Woods, a new employee who began work today, Tuesday. Woods is single a

rd Lloyd Zimmerman, who was employed today as time clerk to take the place lef

2,224.57. FUTA taxable wages for the first three quarters was $65,490.00.
rth quarters was 8,050

Bonno Ferguson Ford Mann O'Neill

20298 35125 13740 12750 136138.41
1032 2750 1151 667 34739.71
20298 36625 13740 13500 132900
1258.48 2270.75 851.88 837 8239.8
20298 36625 13740 13500 141538.41
294.33 531.09 199.23 195.78 2052.3
- - - - -
- - - - -
none none none none none
 - - - - -
- - - - -
- - - - -
None 1,500.00 None 750.00 5,400.00
12.17, Union Dues 121.00 21.98 8.24 8.10 84.90
PA PA PA PA PA
000-0-3300 000-0-3300 000-0-3300 000-0-3300 000-0-3300
20298 36625 13740 13500 141538.41
623.16 1124.42 421.81 414.48 4345.25
20298 36625 13740 13500 141538.41
787.74 1421.38 533.26 523.91 5492.96
PHILA. PHILA. PHILA. PHILA. PHILA.
 Tuesday. Woods is single and claims one withholding allowance. She is employed

me clerk to take the place left vacant by the death of Virginia A. Russell last week. H

ers was $65,490.00.

Ryan Sowkoski Ngoc Woods Young

23139.3 28950 11584 2280 1260 313,498.04
1252 3038 859 184 107 49,095.71
23739.3 28950 11584 2280 1260 315,503.63
1471.84 1794.9 718.23 141.36 78.12 19,561.26
23739.3 28950 11584 2280 1260 324,142.04
344.22 419.81 167.99 33.06 18.27 4,700.17
- - - - - -
- - - - - -
none none none none none -
 - - - - - -
- - - - - -
- - - - - -
600.00 None None None None 8,250.00
14.23, Union Dues 121.00 17.37 6.93 1.37 0.76 168.02
PA PA PA PA PA -
000-0-3300 000-0-3300 000-0-3300 000-0-3300 000-0-3300 -
23739.3 28950 11584 2280 1260 321,748.04
728.8 888.8 355.65 70 38.68 9,877.81
23739.3 28950 11584 2280 1260 321,748.04
921.28 1123.53 449.57 88.48 48.9 12,486.74
PHILA. PHILA. PHILA. PHILA. PHILA.
e. She is employed as a programmer at a monthly salary of $2,600. Address, 8102

Russell last week. His beginning salary is $2,600 per month. Address, 900 South C
12a. Form W-3

5519
0. Address, 8102 Franklin Court, Philadelphia, PA 19105-0915. Telephone, 555-1

ess, 900 South Clark Street, Philadelphia, PA 19195-6247. Telephone, 555-2104. S

Telephone, 555-1128. Social Security No. 000-00-1587. She is eligible for group

phone, 555-2104. Social Security No. 000-00-1502. Zimmerman is married and cl

eligible for group insurance coverage of $47,000 immediately, although her first

n is married and claims one withholding allowance. Zimmerman is eligible for gro
although her first deduction for group insurance will not be made until Decembe

n is eligible for group insurance coverage of $47,000, although no deduction for

ade until December 18.

no deduction for group insurance premiums will be made until the last payday i
il the last payday in January.
hh Documents Submitted Page #
1 Payroll Register (Nov. 20 + Dec. 4) PR3
2 Payroll Register (Dec. 14 + Dec. 18) PR4
3 Journal Page 44 7-27
4 Journal Page 45 7-28
5 Journal Page 46 7-29
6 Journal Page 47 7-30
7 General Ledger - Cash, Account No. 11 7-33
8 General Ledger - Payroll Cash, Account No. 12 7-34
9 General Ledger - FICA Taxes Payable - OASDI, Account No. 20.1 7-35
General Ledger - FICA Taxes Payable - HI, Account No. 20.2
10 General Ledger - FUTA Taxes Payable, Account No. 21 7-36
General Ledger - SUTA Taxes Payable - Employer, Account No. 22
General Ledger - Employees FIT Payable, Account No. 24
11 7-37
General Ledger - Employees SIT Payable, Account No. 25
General Ledger - Employees SUTA Payable, Account No. 25.1
General Ledger - Employees CIT Payable, Account No. 26
12 7-38
General Ledger - Group Insurance Premiums Collected, Account No. 27
General Ledger - Union Dues Payable, Account No. 28
General Ledger - SIMPLE Contributions Payable, Account No. 29
13 General Ledger - Administrative Salaries, Account No. 51 7-39
General Ledger - Office Salaries, Account No. 52
General Ledger - Sales Salaries, Account No. 53
14 General Ledger - Plant Wages, Account No. 54 7-40
General Ledger - Payroll Taxes, Account No. 56
15 Employees' Earnings Record - Bonno + Ferguson 7-42
16 Employees' Earnings Record - Ford + Mann 7-43
17 Employees' Earnings Record - O'Neill + Russell 7-44
18 Employees' Earnings Record - Ryan + Sokowski 7-45
19 Employees' Earnings Record - Pham (Student) + Williams 7-46
20 Employees' Earnings Record - Woods + Young 7-47
21 Employees' Earnings Record - Zimmerman (no record) 7-48
22 Federal Deposit Information Worksheet (Transaction No. 11, 25, 33, and 36) 7-49
23 State Filling Information Worksheet (Transaction No. 2, 4, and 14) 7-50
State Filling Information Worksheet (Transaction No. 18, 27, and 31)
24 7-51
Monthly Wage Tax Form (Transaction No. 12)
Monthly Wage Tax Form (Transaction No. 26 and 34)
25 7-52
PA Employer's Quarterly Reconciliation Worksheet (Transaction No. 43)

Total: 25 pages