Company Code Loc/Dept Number Page H RX / PUJ 21609797 _01/ 2946583 {of 1 Earnings Statement DARREN K INDYKE PLLC 575 LEXINGTON AVENUE phar rte canon SUITE 92 4TH FLOOR F NEW YORK, NY 10022 Pay Cate: oeres/2016 a Taxable Marital Status: manos Exemptions/Allowances: ‘ax Override: fan G Teseeal: LESLEY K GROFF State: 0 State: Local .) Local Social Security Number: XXX-XX-XXXX Earnings rate hours/units this period year to date Regular 0.00 1538.46 29615. 38 Gross Pay $1,538.46 $29,615.38 y F Deposits Statutory Deductions __this period ___ year to date account number transilABA Federal Income “145.77 3792.91 XXKXKKI ISS XXXXKKKKK Social Security -95.38 1836.15 Medicare -22.30 429.42 New York State income ~66.68 1522.27 Voluntary Deductions _ __.this period year to date New York voluntary disability -1.20 15.60 Net Pay — ~ $1,207.13 } DARREN K INDYKE PELC | 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 / Deposited to the account Checking DirectDeposit HF Y DOCUM=aiNT AUTHSNTISIT Y- SOLOHED Ar FF Your lederal taxable wages this period are $1,598.46 Pay Date: 06/23/2016 tansiVABA XXXXXAXXK 3: AXXKXXS1S9 A? amount 1207.13 amount 1207.13 © 1996, 2006. ADP, LLC Al Rights Reserved. Ww [ea rT x « < id v SAANGE i fov= GHADUALETS AND SYSUNLY FHOM Ossett AS for TU LiGisfeH Al BOTTOM fh EFTA00316250