RegUar CompanyCod• Loc/Dept Number Page
Earnings
RegUar CompanyCod• Loc/Dept Number Page
RX I PUJ 21606797 61! 3207828 t ol I
DARREN K INDYKE PLLC
575 LEXINGTON AVENUE
SUITE 92 4TH FLOOR
NEW YORK, NY 10022
Taxabe Mantal Status:
ExemosonsrAllowances.
Eedera]: 0
Siale: D
Loco; 0
Soda] secunty Number:
Gross Pay Mairied
Tax Overvide:
Federal:
State:
Lood:
XXX-XX-XXXX
rate haunrieh
0.00 Ibis putriod year to date
1538.46 37307.68
91,538.46 537.307.68
Statuten DeduclIons
Federal Irrname
Sccial Securny
Medeare
Now York Süde Income
Volumen/ Deductlons
New Yorkvoluntarycksabialy
NN Pay thls oedod year to date
-145.77 4521.76
-95.39 2313.08
-22.31 540.96
-66.68 1855.67
thls perlod year to date
-1.20 21.60
91,207.11 Earnings Statement
Pericd Suuling:
Period End.ng:
Pay Date:
Business Phono: 08,22/2016
09,1412016
09012016
LESLEY K GROFF
Capotim
account nungss
XXXXKX3159 IranaillABA
103003000C
Your ladoral taxable weges ms pOliCd are 51.538.46 amotad
3207.11
wer
yF;171 Drit:UhIEJ)T - eJLifiliEb AilEA1493I 'JH:43113F. lil lf'IOM LL:1517. ;17 Lifiirria ;11 DriTtr_JA1 fl
DARRENK INDYKE PL1C
575 LEXINGTON AVENUE
SUITE 92 4TH FLOOR
NEW YORK. NY 10022
Deposited to et account
CheckIng DireciDeporre
er.> rnis
! Xzezi.
et4 ' Pay Dato: 09/01/2016
transiVABA amant
XXXXXXXOt 1207.11
LESLEY K GROFF
EFTA00316272