Pay Date: 12/08/2016 Ly accougt number-. hansWADA XXXXXX0159.'' XXXXXXXXX amount 1207.11 a 0 0 I 4 TEAR HERE Earnings Regular Company Code Loc/Dept Number Page RX / PUJ 21609797 01/ 3595419 I of I DARREN I< INDYKE PLLC 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK. NY 10022 Taxable Menial Status: ExemplionsAllonances: Federal: 0 Stale: 0 local: 0 Social Security Numbw: Gross Pay Married Tax Override: Federal, Slate: Local: )0(X•XX•Cax rate- howsfuntts 0.00 Statutory Deductions Federal Income Social Security Met:care Now York Slate Income Voluntary Deductions New York voluntary disability Net Pay this period year to date 1538.46 48076.90 $1,538.46 548,076.90 Earnings Statement Period Slating: Period Endng: Pay Date: Business Phone: 11128/2016 12/11/2016 12/087016 LESLEY K GROFF this period year to date Deposits account thumbs. II ain't/ A BA amount -145.77 5542.15 XXX<XX3159 xxxxxxxxx 1207.11 -95.39 2980.77 -22.31 697.12 -66.68 2322.43 this period __ year to del, -1.20 30.00 51,207.11 Your federal Mob* wages IIn pored we 31 .538.46 n YEilIF1 Drit:UtlEili..111111Z-1111C11/ - !://..a.ISUE hi 'f9i1E CU:l...!) VAIL? :AID 9.0a44.11'19?"1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK. NY 10022 Deposited to the account Checking DrrectD•pota V LESLEY K GROFF =Pi EFTA00316294