ry CompanyCode Loc/Dept Number Page 3869713 1 of 1 RX/PUJ21609797 01/7 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Marital Status: Married Exemptions/Aliowances: Tax Override: Federal: 0 Feder: State: 0 State: Local: 0 Local: Social Security Number: XXK-XK-XAXKK VEAF ff QOCUMENT AUTHENITEIlY - COLORED __fate _ hours/units ___this period 0.00 1538.46 Gross Pay $1,538.46 Statutory Deductions ._..___this period Federal Income -145.00 Social Security ~95.39 Medicare -22.31 New York State income ~66.50 Voluntary Deductions this period New York voluntary disability -1.20 Net Pay $1,208.06 DARREN K INDYKE PLLC. 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Deposited to the account Checking DirectDeposit LESLEY K GROFF yearto date year to date <p esaecotint number... 8". Earnings Statement Period Starting: 02/06/2017 Period Ending: 02/19/2017 Pay Date: 02/16/2017 Business Phone: LESLEY K GROFF its account number 4a? tansiVABA amount XXXXXX3159 Your lederal taxable wages this period are $1,538.46 MOST CHANGE Wl TONE SHADUALLY Alo SVSiILy Frio Dara XXXKXKKXK 1208.06 ights Reserved. © 1998, 2006. ADP, LLC All Ri w c wi <= cs ri - v TO Liste Ar Sorrom #) Pay Date: 02/16/2017 transivVABA amount « XXXKRKG159 XXXXXAXXX 1208.06 EFTA00316325