#
EARNINGS STATEMENT
Marital Status:
Exemptions:
Pay Period:   -  
Pay Date:
Employee #:
Social Security #:
   EARNINGS
RATE
HOURS
TOTAL
YTD TOTAL
   Regular
   Overtime
   Holiday
   Vacation
   Bonus
   Float
 
GROSS PAY
   DEDUCTIONS
TOTAL
YTD TOTAL
   Fica - Medicare
   Fica - Social Security
   Federal Tax
   State Tax
DEDUCTION TOTAL  
NET PAY