Company Code Loc/Dept Number Page RX/ PUJ21609797 01/ 3924099 1of1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Marital Status: Married Exomptions/Allowances: Tax Override: Federal: 0 Federal: State: 0 State: Local: ti) Local Social Security Number: XXX-XX-XXKX Earnings _ __rate __ hours/units this period Regular 0.00 1538.46 GrossPay $1,538.46 Statutory Deductions _ ______this period Federal Income 145.00 Social Securily -95.38 Medicare -22.31 New York State income ~66.50 Voluntary Deductions this period New York voluntary disability -1.20 Net Pay ~ $1,208.07 year to date 7692.30 $7,692.30 __ year to date 725.00 476.92 111.54 332.50 year lo date 6.00 Earnings Statement >>? Period Starting: 02/20/2017 Period Ending: 03/05/2017 Pay Date: 03/02/2017 Business Phone: P| LESLEY K GROFF Deposits account number XXXXXX3159 transivABA XXXXKKXXK Your federal taxable wages this period are $1,538.46 amount 1208.07 1998, 2006. ADP. LLC Ali Rights Reserved <q TEAR HERE 9 VENFY DOCUMENT AUSHENTISIY - COLOHED AEA MUST CHANGE Ii) TONE GHADUALLY AND EVENLY FROM Ulric AF TOP TY LIGHTER AT BOTTOM Fh DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK, NY 10022 Deposited to the account Checking DirectDeposit eoqe@0couint number. Pay Date: 03/02/2017 transit/ABA 2; XXXRXX9159 XXXXKKXKK amount 1208.07 EFTA00316326