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| Advanced 5 Paycheck Stub Template
CO.
FILE
DEPT.
CLOCK
VCHR. NO.
Earnings Statement
Period Ending:
Pay Date:
Exemptions/Allowances:
Federal:
Provincial:
Earnings
rate
hours
this period
year to date
Regular
Gross Pay
Other Benefits and Information
this period
total to date
Taxable Benefits:
Deduction Statutory
FICA - Medicare
FICA - Social Security
Federal TAX
Other
Net Pay
Notes
Pay
** 404 ** ** DOLLARS AND ** 45 ** cents
TO THE ORDER OF:
Check Date
Check number
2025-02-25
95641
THIS IS NOT A CHECK
NON NEGOTIABLE
Void
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Employee
Earnings
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CO.
FILE
DEPT.
CLOCK
VCHR. NO.
Earnings Statement
Period Ending:
Pay Date:
Exemptions/Allowances:
Federal:
Provincial:
Earnings
rate
hours
this period
year to date
Regular
Gross Pay
Other Benefits and Information
this period
total to date
Taxable Benefits:
Deduction Statutory
FICA - Medicare
FICA - Social Security
Federal TAX
Other
Net Pay
Notes
Pay
** 404 ** ** DOLLARS AND ** 45 ** cents
TO THE ORDER OF:
Check Date
Check number
2025-02-25
95641
THIS IS NOT A CHECK
NON NEGOTIABLE
Void