Company Code Loc/Dept Number Page j RX/PUJ21609797 01/ 4056361 1 of i Earnings Statement J DARREN K INDYKE PLLC 575 LEXINGTON AVENUE Period String: gungz017 SUITE $2 4TH FLOOR Pies Endg:§— sarigay7 NEW YORK, NY 10022 — Taxable Marital Status: Married Exemplions/Allowances: Tax Override: LESLEY K GROFF Federal: 0 Federal; State: 0 State Locak i) Local: Social Security Number: XXX-XX-KAXX Earnings _ rate hours/units this period year to date Regular 0.00 1538.46 12307.68 Gross Pay $1,538.46 $12, 307.68 Deposits Statutory Deductions this period ____ year to date account number transiV/ABA amount Federal income -145.00 1160.00 XXXXXX3159 XXXXXXXXX 1208.06 Social Security -95.39 763.08 Medicare 22.31 178.46 New York State Income -66.50 532.00 Voluntary Deductions __this period __year to date New York voluntary disability “1.20 9.60 NetPay $4,208.06 Rights Reserved. © 1998, 2006. ADP, LLC All Your federal taxable wages this period are $1,538.46 <q TEAR HERE fh Jerry DOCUMENT AUTHailtciry - COLOH=D A DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 transiv/ABA XXXXXXXKX i] Deposited to the account _ =| Checking DirectDeposit . & 1208.06 __ «ee Mecodint number. SS XXXKRKG1 59 } LESLEY K GROFF fi 5] | EFTA00316332