Non Negotiable - This Is Not A Check - Non Negotiable

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Direct Deposit Advice

Check Date Voucher Number


6071 Bristol Pkwy August 4, 2023 1290514
Culver City, CA 90230

Direct Deposits Type Account Amount


Direct Deposit Voucher SUTTON C ***6232 538.39
BANK
Total Direct Deposits 538.39
12345 900500-85270-IL 43279 1290514 1391854 12345
Non Negotiable - This is not a check - Non Negotiable
Dena Lawrence
2684 W. 61st Ave
Other 0
Merriville, IN 46410

Non Negotiable - This is not a check - Non Negotiable

SECURITY INDUSTRY SPECIALISTS INC


Dena Lawrence Earnings Statement
Employee ID 43279 Fed Taxable Income 721.68 Check Date August 4, 2023 Voucher Number 1290514
Location 900500-85270-IL Fed Filing Status H Period Beginning July 23, 2023 Net Pay 538.39
Hourly $19.00 State Filing Status S-4 Period Ending July 29, 2023 Total Hours Worked 40.25

Earnings Rate Hours Amount YTD Deductions Amount YTD


GROUP TE 0.00 0.58 17.98 401K 46.03 1,503.28
OVERTIM 28.50 0.25 7.13 2,914.18 Garnishment 96.76 894.62
PTO 589.00 GROUP TERM LIFE CALCULA 0.58 17.98
REGULAR 19.00 40.00 760.00 22,073.25 Deductions 143.37 2,415.88
RETRO OT -21.38 Direct Deposits Type Account Amount
Retro Regu 9.50 SUTTON BANK C ***6232 538.39
Gross Earnings 40.25 767.71 25,582.53 Total Direct Deposits 538.39
Taxes Amount YTD
FITW 0.00 0.00
IL 27.22 884.22
MED 11.13 370.95
SS 47.60 1,586.10
Taxes 85.95 2,841.27

SECURITY INDUSTRY SPECIALISTS INC | 6071 Bristol Pkwy Culver City, CA 90230 | (310) 215-5100 | FEIN: 95-4751935 | IL: 4607056

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