Earnings Regular Company Code Loc/Dep1 Number Page RX / PUJ 21609797 01/ 4285163 1 o11 DARREN K INDYKE RISC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Marital Status: Exemptions/Allowances: Federal: 0 Stale: 0 Local: 0 Social Security Number: Mewed Tax Override: Federal: Slate: Local: XXX-XX-XXXX rate hours/m*3 Gross Pay Statutory Deductions Federal Income Social Seedily Meicare New York Slate Income Earnings Statement Period slatting: 05/29/2017 Period Endng: 06/11/2017 Pay Dale: 06/08(2017 Business Pnone: LESLEY K GROFF thispalled _ year to date 0.00 1538.46 18461.52 $1,538.46 S18,461.52 this piloted year to date Depons account number trifoliate/I amount -145.00 -95.38 1740.00 1144.61 XXXlaX3159 XXXCOUODI 1208.07 -22.31 267.69 -66.50 798.00 Voluntary Deductions New York voluntary &subsidy fills Period year 10 date -1.20 14.40 NM Pay $1,208.07 Your Weld lantiewapos Wes peed we $1.638.46 ILitilP JJL'7AIEi1 f P.LrrhEtriftar ,;:T./10;1410 1 AHEA h I Star- :.trIALIJAL.1,/ AilU 2V-11- / r ti Jhl DAR.. 41 1J 1.11411_41 AI _1.7rfO61 CS SW"eDARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 024TH FLOOR NEW YORK. NY t0022 Dspostted to the account Checking DrociDepose LESLEY K GROFF Pay Date: 06/08/2017 SCOW!, fr banseJABA 100066159 )00000(XXX amount 1206.07 fi • .nog VrntaltlAL utnumeirr HAI; _ Siff..! L.. • % it t, avr AYI Anrli.a yri 'nosy Wit iI e;:ogge:Vioiti ruin Seltinutighlgiit EFTA00316339