Document wqryZeLozVMn7MXdjKnkaYLR6

NAME deductions W.T. __ F.I.C.A, _ STATE TAX . 0 T ---------- H ____ ------------- R TOTAL$_ HRS. NO. OUT PM IN OUT Z O O > < o 21 IN AM OUT PM IN OUT Z o o z IN AM OUT PM IN OUT Z o o z > < Q ai Z> 1-- < 00 > <a IN AM OUT PM IN OUT z o oz IN AM OUT PM IN OUT z o o IN AM OUT PM IN OUT Z o o IN AM OUT PM IN OUT Z o oz IN AM >a CCOC Z3 X < Q CO a Ui 5 > <ac CUOJ O >< Q Z o 5 -AMT. . TOTAL PAY TOTAL DEDUCTIONS- NET PAY $. BSIS-Roberson02489