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Name of the
employee
All applicable
hourly rates
The inclusive dates of the
period for which the
employee is paid
Total
hours
worked
employee ID number
PAY PERIOD
SOCIAL SECURITY NO. PAY RATE
XXX-XX-6789
18.00 regular 2/11/02 to 2/17/02
27.00 overtime
All deductions
Gross wages
earned
GROSS EARNINGS:
TOTAL DEDUCTED:
NET EARNINGS:
DEDUCTIONS
Federal W/H
FICA
Medicare
CA State W/H
CA State DI
401k
AMOUNT
60.45
49.67
12.36
10.04
7.12
77.40
774.00
217.04
556.96
Net wages
earned
This pay stub is not applicable to an employee whose compensation is solely based on a salary and who
is exempt from payment of overtime under Labor Code section 515(a) or any applicable IWC order.