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efta-efta00316251DOJ Data Set 9Other

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DOJ Data Set 9
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efta-efta00316251
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Company Code LoelDepl Number Page RPM -116087V (TV NAW0 VS I DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 924Th FLOOR NEW YORK, NY 10022 Taxable Marital Status: Exempsions/Mcwances- Federal: 0 State: 0 Local: 0 Social Security Monied Tax Override: Federal: State: Local. XXX-XX-XXXX Earnings Statement Period Starling: Period Ending: Pay Ow: Business Phone 06/27/2016 07/10/2016 07/07/2016 LESLEY K GROFF Earnings rate hours/units thle period yam to dale Dement account nwn bar transIMEIA amoud Regiter 0.00 1538.46 31153.84 531.153.84 Ver to date Gross Pay 41,530.46 Statutory Deductions this period Federal Income Social Security Medicare New Ye)* Stele Income Voluntary Deductions New Yetkvoluntarychsabilily -145.77 -95.39 -22.31 -66.68 Sod 3938.68 1931.54 451.73 1588.95 nista 0M* XXXXXX3150 XXXXXXXXX 1207.11 -1.20 16.80 Net Pay $1,207.11 Your INNS lexablewages tM period we $1.538.46 YEitliF / - 0111i.tf hI Ito, E ./a-IL/ F.;;CM) DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK. NY 10022 Deposited to the socourd Ched0ng DirecIDeposil LESLEY K GROFF Pay Date: 07/07/2016 QI 5 rip : LviirrEn ;;rerriLA amount 1207.11 EFTA00316251

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