Earnings _

Earnings _ _ Regular COMpany Code L.OciDept Number Page PUJ 21609797 01/ 3537684 I of I DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK. NY 10022 Taxable Marital Slates: ExemptonsrAllowa.nces: Federal. 0 Slate: 0 Local: 0 Social Security Number: rate . Gross Pay Married Tax Override: Federal: Stale: Loral: XXX•XX.XX)IX bourertmhe 0.00 intended per to dem 1538.46 46538.44 91,5313.46 546.538.44 Statutory Deductions Federal Income Social Secunly Medicare New York Stale Income Voluntary Deductions New York yo'untary disability Not Pay Earnings Statement Period Starling. Period Ending: Pay Dale B0VII0SS Phone. 1 1 n 4r2016 11/27/2015 11/23/2016 LESLEY K GROFF this period year to date Deposits sewer number trantdUABA SWUM -145.77 -95.38 -22.31 -66.68 5396.38 2885.38 674.61 2255.75 >300000i 69 XXXXXXXXX 1207.12 _ this period year to dale -1.20 28.80 $1,207.12 rs ir:;;IF I Lex:Jima-, rr ;;Ulna d.11,;11 I. !;fiL.1:/;;EL, DARKEN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK. NY 10022 Deposited to the account Checking DirecIDeposil LESLEY K GROFF Your lederal taxalae wages Ilrs period ale 51.538 46 Pay Date: I ID EIEJL. F;:t-Ohl D.:417. al IL)? Vi LitiiirEe) Lff I*; Li FT rif.! 11/23/2016 1207.12 a cc CU Cr Cr Cr EFTA00316292