Thaddeus Janurary paystub

CO FILE # 000000-000000 Earnings Statement

PCSXGG 000064860

Location: L001 Deptid: 001120 Page 001 of 001
12/16/2015
Emplid: 172512 Period Beginning: 12/31/2015
Lithia Motors Support Services Period Ending: 01/08/2016
Advice Date: 0071765588
Payroll: 800-866-9213 Advice Number: GA2110005
Batch Number:
150 N Bartlett

Medford, OR 97501

541-776-6401

Marital Status: Single

Exemptions/Allowances: Lewis,Thaddeus
Federal: 2 325 N 9th St #4
State(OR): 2 Medford, OR 97504
Local: 0

_Ea__rn__i_ng__s_______R_a_t_e_____H_o_u_r_s____T_h_i_s__P_e_r_i_o_d___Y_e_a_r_-_t_o_-_D_a_t_e___ _D_e_d_uc__ti_o__ns__O_t_h_e_r_____T_h_i_s__P_e_r_i_o_d____Y_e_a_r_-_t_o_-_D_a_t_e__

Regular 13.0000 75.83 985.79 985.79 *MedBase -35.00 -35.00
O/T Earn 19.5000 0.25 4.88 4.88
Holiday 13.0000 8.00 CriticalEE -4.25 -4.25
Gross Pay 104.00 104.00
1094.67 1094.67 *Dental -16.49 -16.49

*LifePreTax -0.75 -0.75

*LTD -1.80 -1.80

*MedicalFSA -20.83 -20.83

Federal Withholding Tax -64.03 -64.03 *401K -32.84 -32.84
Social Security Tax -63.23 -63.23
Medicare Tax -14.79 -14.79 * This deduction reduces taxable gross.
OR Withholding Tax -57.15 -57.15
Workr Comp Wthhldng Tax Fed Taxable Wages this period $986.96
-1.26 -1.26
Net Pay: Title: IT Help Desk Technician
782.25 40.00
Paid Time Off Balance

2002 A utomatic Data Processing (PCSUVO)

Lithia Motors Support Services Advice Number: 0071765588
150 N Bartlett Advice Date: 01/08/2016
Medford, OR 97501
541-776-6401

Lewis,Thaddeus Checking 187190943 323274775 782.25