Company Code

Company Code LodDepl Number Page R X / PUJ 2160797 01/ 3761652 1 of 1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxatie Mantel Stalus: Marrie0 ExemplicosAllowences: Tax Override: Federal: 0 Federal. Slate: 0 Stale: Local: 0 local Social Security Number: xxx-rc-xxxx Earnings nits Wm/units thisperiod year to date Regular 0.00 1538.46 3076.92 Grow Pay $1,538.46 53,076.92 Earnings Statement Period alining: Period Engine: Pay Date: 01/09/2017 0122/2017 01/192017 Business Phone: 212-971-1307 Deposits Statutory Deductions this period year to date account numb, innalUABA amount Federal Income -145.00 290.00 XXX000159 )0000000 X 2208.06 Social Severity -95.39 190.77 Medicare -22.31 44.62 Now York Slam Income -66. 50 133.00 Voluntary Deductions this period year to date New York voluntary disebilily -1.20 2.40 Net Pay $1,208.06 Your %dewed taxable wages ihs period WO $1.534.46 a. cc w cr cc V 1E;;IF I 1.e..e..:1.1;i1.5•11 ALIIHE.11T11.:1•1/ - C:11J-L-Yr C.:11 :,ICIE1. 11141111 ID E lEi 11;:t.thl EJ/1.1lie. ;-:T it:1r) Beff/91,111 DARREN K INDYKE PILL 576 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK. NY 10022 Deposited to the account Checking Prec10eposrr LESLEY K GROFF Pay Date: 01/19/2017 4 Yi.ew4,14 XMODCX3150 ,:r oc n . r ;:t wansiUMIA 100000000C 1208.06 amount EFTA00316320