Company Code Loc/Dept Number Page i RX/ PUJ 21609797 _01/ 3329960 fol 1 Earnings Statement 2 DARREN K INDYKE PLLC - 575 LEXINGTON AVENUE Hex ae srt ndid SUITE $2 4TH FLOOR ing: NEW YORK, NY 10022 Pay Date 09/29/2016 | Mate Marital Status: Married ‘xempltions/Allowances: Tax Override: plionsiAlowe x Overt LESLEY K GROFF State; 0 State: Local: 0 Local: Social Security Number: XXX-XX-AXAXXK Earnings rate _hours/units this period year to date Regular 0.00 1538.46 40384 .60 Gross Pay $1,538.46 $40, 384.60 " Deposits Statutory Deductions _ _____this period year to date account number transiVABA amount Federal Income -145.77 4813.30 1207.11 Social Security ~95.39 2503.85 TOOT 198 MOI Medicare -22.31 585.58 New York State Income ~66.68 1989.03 _ Voluntary Deductions this period year to date New York voluntary disability 71.20 24.00 Net Pay ~~ $1,207.11 3 Z = 2 cs) 3 a 2 e w c Your federal taxable wages this period are $1,538.46 Ed c ri) - Vv DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE $2 4TH FLOOR NEW YORK, NY 10022 Deposited to the account Boro ty Pay Date; __transivABA amount Checking DirectDeposit 1207.11 XXKXXXKKK EFTA00316285