HTML Preview Wells Fargo Bank Payroll Check page number 1.
Sample Paycheck
080074566
WELLS FARGO BANK, N.A.
Charlottesville, VA 22901
DATE AMOUNT
Pay
Jan 31,2012 $1,509.42
to the order of:
Jane S. Doe
401 McIntire Rd
Charlottesville, VA 229020000
II 080074566 II I:0051400549I:
Employee ID Employee Name Date Check Number Social Sec. No. Start Per. End Per.
009999 Jane Doe 1/31/2012 XXX-XX-1234 1/1/2012 1/31/2012
WAGES BENEFITS
Description Hours Rate Description Amount Year to Date
Base Pay 0.00 Health High Employee Only $469.66 $469.66
Total Wages Total Benefits $469.66 $469.66
TAXES
Description Amount YTD Description Amount Year to Date
Nationwide Retirement $50.00 $50.00 FICA Medicare $50.74 $50.74
Flexible Spending Account Ded $333.33 $333.33 FICA Social Security $146.96 $146.96
Health High Employee Only $157.42 $157.42 Federal Withholding $1,241.65 $1,241.65
ACAC - Health Club Ded $129.00 $129.00 VA Withholding $247.38 $247.38
AFLAC $73.94 $73.94
Credit Union $50.00 $50.00 Total Taxes $1,686.73 $1,686.73
Description Balance
Annual Leave 151.00
Totals $793.69 $793.69 Sick Leave 185.60
Amount Year to Date
Gross Wages $3,989.84 $3,989.84
Net Check $1,509.42 $1,509.42
DEDUCTIONS
LEAVE BALANCE
NET CHECK
One Thousand Five Hundred Nine Dollars and 42 Cents
2079114430524 II
0080074566
Amount
$3,989.84
$3,989.84
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