Company Code Loc/Dept Number Page RX / PUJ 21609797 O1/ 3164842 1of 1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Marital Status: Married Exemptions/Allowances: Tax Ovemde: Federal 0 Federal: State: 0 State: Local i) Local Social Security Number: KOX- KK XXX Earnings rate hours/units Regular 0.00 Gross Pay Statutory Deductions Federal Income Social Security Medicare New York State income Voluntary Deductions New York voluntary disability Net Pay : DARREN K INDYKE- PLLC 575 LEXINGTON AVENUE S SUITE 92 4TH FLOOR 3 NEW YORK. NY 10022 Deposited to the account _ Checking DirectDeposit LESLEY K GROFF this period 1538.46 $1,538.46 this period -145.77 -95.38 -22.30 ~66.68 this period -1.20 $1,207.13 year to date 35769.22 $35,769.22 year to date 4375.99 2217.69 518.65 1788.99 year to date 20.40 Earnings Statement Period Starling: 08/08/2016 Period Ending: 08/21/2016 Pay Date: 08/18/2016 Business Phone: | LESLEY K GROFF Ay? Deposits account number ___transiABA _amount XXXXXXI159 XXXXXAXKK 1207.13 Your lederal taxable wages this period are $1,538.46 Pay Date: 08/18/2016 “_transiVABA a XXXENXS159 XXXXXXXXK JLY FHOM Use AT TOP TY LiG Ter AT BOTT Ou f © 1998, 2006. ADP. LLC Al Rights Reserved. <q TEAR HERE amount 1207.13 EFTA00316271