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efta-efta00316357DOJ Data Set 9Other

Earnings

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DOJ Data Set 9
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efta-efta00316357
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Earnings RefItAN Gamy Code LoaDept Number Pape FIX / Pal 21600797 01! 4811Th Ti!) DARREN K INDYKE PLLC 576 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK, NY 10022 Taxable Mental Siatus: Exemptions/NlowanceS Federal: 0 Stale: 0 Local: 0 Social Securay Number: Mauled Tax Override: Federal: Stale: Local: XXX•XX-X)00( rate hours nits this period war to dale 0.00 1538.46 33846.12 Gross Pay 81,538.46 533.846.12 Statutory Deductions Federal Income Social Security Medicare New York Stale Income Voluntary Deductions New York volunla.:ythsatilsy Nei Pay - - this period Nun to dada -145.00 3190.00 -95.39 2098.46 -22.31 490.77 -66.50 1463.00 IMO perlOd Mato dale -1.20 26.40 $1,208.06 Earnings Statement Pence Starting: Period Ending: Pay Dale: Butanes) Phone: 10/16/2017 10/29/2017 10/26/2017 LESLEY K GROFF DaPosas account number XXXXXX3159 transIVABA XXXXXX)0(X Your lecsaral taxable wages this petit/id ale 51,538.46 2111O1.111t 1208.06 , 1 vnifF I Deir:uixilli.:11114=il flE41 I - COLD/1=J Art-sA ouzi r ...r1:111,1= bl f.hlz: 43t1AJJA--7 Ail-I = Iza-/ r 4 Je51 tIMilit AI" IDP ID LIOHIED:5711PDIID —,,, k1/2 DARREN KINDYKE PLLC . . 575 LEXINGTONAVENUE SUITE 92 4TH FLOOR NEW YORK. NV 10022 Pay Date: 10/26/2017 11111OUra 1208.06 EFTA00316357

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