PayStatement 3140094968

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Service Provided For

Bank of America
DecisionHR InSync Consulting Services LLC 220 3rd Street South
5801 Postal Road 2231 Douglas Blvd. Suite 100 St. Petersburg, FL 33701
PO Box 818020 Roseville, CA 95661
Cleveland, OH 44181
CHECK #: 94968
PAY DATE: 9/16/2022
PAY TO: Robin Annette Laramore
THIS AMOUNT: Zero Dollars $********0.00

Robin Annette Laramore


2600 Harrison st
Oakland, CA 94612

Not Valid After 90 Days

PAY STATEMENT DecisionHR InSync Consulting Services LLC Robin Annette Laramore
ID: 00000003140094968 5801 Postal Road 2231 Douglas Blvd. Suite 100 2600 Harrison st
PO Box 818020 Roseville, CA 95661 Oakland, CA 94612
Cleveland, OH 44181
Detach along the perforation and retain
for your records

PAY PERIOD INFORMATION EMPLOYEE INFORMATION


Pay Period: 9/4/2022 - 9/10/2022 Employee ID: 7937
Pay Date: 9/16/2022 Employee SSN: *-5003
Work Location: Kaiser San Leandro 2500 Merced Street Department: Payroll - Blackstone
San Leandro, CA 94577 Federal: S TJ:N $0.00 $0.00 $0.00 $0.00
State(s): CA: S 0/0 $0.00
COMPANY MESSAGE

EARNINGS DEDUCTIONS AND CONTRIBUTIONS TAXES


Type Rate Hrs/U Current YTD Type Current YTD Type Current YTD
Regular $0.0000 0.00 $0.00 $19,880.00 Employee Deductions EE Social Security $17.11 $1,565.45
Holiday 1.5 $34.5000 8.00 $276.00 $276.00 MEC Plus Non-5M cn PT $0.00 $457.56 Medicare $4.00 $366.11
Overtime 0.00 $0.00 $5,707.80 Dental Plan 3- M cn PT $0.00 $157.08 CA SDI $3.04 $277.76

STATEMENT SUMMARY NET PAY DISTRIBUTION


Current YTD Bank Account Account Type Net Pay
******3834 Checking $251.85
Total Gross $276.00 $25,863.80
Live Check - $0.00

Total Taxes $24.15 $2,209.32

Total Deductions $0.00 $614.64

Net Pay $251.85 $23,039.84 Total Net Pay $251.85

APP R 1.2.1.0 PAGE 1/1

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