Code RX / PUJ 21609797 Company Taxable Marital Status: Exemptions/Allowances: o1/ Married Tax Override Loc/Dept Number Page 2690702 1 of 1 Federal: 0 Federal State: 0 State: Local 0 Local Social Security Number: XXX-XX-XXXK Eamings rate hours/units this period year to date Regular 0.00 1538.46 23461.54 Gross Pay $1,538.46 $23,461.54 Statutory Deductions this period year to date Federal Income -145.77 3209.83 Social Security 95.39 1454.62 Medicare -22.31 340.19 New York State Income -66.68 1255.55 Voluntary Deductions this period year to date New York voluntary disability -1.20 10.80 Net Pay $1,207.11 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Deposited to the account Earnings Statement 04/18/2016 05/01/2016 04/28/2016 Period Starting Period Ending: Pay Date: Business Phone Deposits account number XXXXXX3189 Your federal taxable wages this period are $1,538.46 La? transi/ABA XXXXXXXXX amount 1207.11 amount Checking DirectDeposit LESLEY K GROFF Pay Date: 04/28/2016 sccoufitnumber .. transit/ABA oy XXXRXXO159 XXXXXXKKX 1207.11 EFTA00300887