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efta-efta00316287DOJ Data Set 9Other

Earnings

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DOJ Data Set 9
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efta-efta00316287
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Earnings Regular Commy code LoolDeett Number Page IIRTPUJ 21809797 On 3442054 1 at 1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxatte Marital Status: Exernce.ions/Allowances: Federal. 0 Stale: 0 Local: 0 Secret Security Number: rate Married Tax Override: Fade's'. State: Local: MX.XX-)0(XX hourslunits this period yeart0 dale 0.00 1538.46 43461.52 Gross Pay $1,538.46 543.461.52 Statutory Deductions Federal Income Social Security Mecfcare New York State Income Volunterypeduetione New York volunlaryddattlity Net Pay Earnings Statement Period Starling: Period Ending: Pay Da107 Business Phone: 10/17/2016 10/30/2016 10/27/2016 LESLEY K GROFF this period year to date acco De unt posits number Iran sitrA94 SWUM -145.77 -95.38 -22.31 -66.68 5104.84 2694.61 630.19 2122.39 XX)000(3250 )000000(XX 1207.12 thisperiod ileset0 dale -1.20 26.40 $1,207.12 Your leeerai taxable wages this period are $1.536.46 el r fAltilatflottt- ,t1.1h10:, hi :Jilt Jrt....)JA..-/ z r.t1-1 rrl )41 JA. b. Ar rip it, Lrnitf5:1 ;Yr istilf241 ft. . • DARKEN K INDYKE PLLC 575 LEXINGTONAVENUE SUITE 924TH FLOOR NEW YORK NY 10022 Deposited to the accoutt Checking CweclOaposa LESLEY K GROFF Pay Dale: 10/27/2016 S transiVABA )3COOOCXXX 110101/111 1207.12 ME . . . . . I EFTA00316287

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