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efta-efta00316351DOJ Data Set 9Other

&rants

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DOJ Data Set 9
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efta-efta00316351
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
&rants Regular Company Code LoceDept Number Papp RIO PTD 2-1609797 01/ 4584778 I of 1 DARREN K INDYKE PU.0 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK. NY 10022 Taxable Marital Straus: Exemplices/Allowanses: Federal: 0 Slate: 0 Local: 0 Sorel Security Number: Maned Tax Override: Federal: Slew: Lout: XXX-XX4C(XX rMo houtslutile thing:kW nine dere 0.00 1538.46 27692.28 Statutory Deductions Federal Income Swat Security Mecicare New York Slate Income 51,538.46 527.692.28 Earnings Statement Period Stamng: Period Endrig: Pay Date: Business Phone 08/212017 09/032017 08/31/2017 LESLEY K GROFF this period year to date Deposits account number transit/ABA amount -145.00 -95.38 -22.31 -66.50 2610.00 1716.92 401.54 1197.00 XXXXXX3159 X XXXXXXXX 1208.07 Voluntary Deductions this per Year to date New York volumarydisabaltY -1.20 21.60 Net Pay $1,208.07 Your federal taxablewages this penal are $1338.46 cc o: Cr cc V - — 1 1/EHIF 99BULliEll f IS M 11 I - VVI.OTIED:1;13141,1UBt -41:1114= 1-111.7. .A.1 -404.1 f f !!Gift EH r Eftiff ritt r4' DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK. NY 10022 Deposited to the account Checking DtrecIDeposil -40 1.16 1 1-4r SiCai) LESLEY K GROFF r. .se.fay Pay Date: ~Yf;accotitp nuntlilrx..w it'„)000b6:3199we 08/31/2017 amount 1208.07 OM A / • I. IA • It 11.0.10 gill t I 04 EFTA00316351

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