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CO. FILE DEPT. CLOCK VCHR. NO.

130
P2A 155629 016000 PC003 0000371526 1 Earnings Statement
PAPPAS RESTAURANTS INC Period Beginning: 08/29/2018
13939 NORTHWEST FREEWAY Period Ending: 09/11/2018
HOUSTON TX 77040 Pay Date: 09/19/2018
713−869−0151

Taxable Marital Status: Single BRISELLE C NICHOLAS


Exemptions/Allowances: 14711 EL GRANDE DR
Federal: 2
TX: No State Income Tax
HOUSTON TX 77083

rate hours this period year to date Other Benefits and


Regular 2 1300 80 00 170 40 2 247 59 this period total to date
Overtime 5 7550 15 73 90 53 328 56 Total Work Hrs 95 73
Tips 1 386 01 12 231 84
Empl Id 0769312
Gross Pay $1 646 94 14 838 59
2000 A DP, LLC

Statutory
Federal Income Tax −125 92 728 72
Social Security Tax −102 12 817 89
Medicare Tax −23 89 191 29

Tips −1 386 01 10 876 43


Uniform Cr −200 16

Uniform Cr +10 95
Net Pay $19 95
Checking −19 95

Net Check $0 00

Your federal taxable wages this period are


$1 646 94

PAPPAS RESTAURANTS INC Advice number: 00000371526


13939 NORTHWEST FREEWAY Pay date: 09/19/2018
HOUSTON TX 77040
713−869−0151

Deposited to the account of account number transit ABA amount


BRISELLE C NICHOLAS xxxxxxxxxxxxx9632 xxxx xxxx $45 24

NON−NEGOTIABLE