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<br /> 4 9 816 0 City of Eugene Pay Group: COE-City of Eugette Employees Business Unit: COE <br /> 777 Pearl Street Pay Begin Date: 10/30/2005 Advice p; 0458487 <br /> Eu ene OR 97401 Pa End Date: l 1/12/2005 Advice Date: i 1/23/2005 <br /> Employce ID: 14237 TAX DATA: Federal OR State <br /> Keith M Jurasevich Departtnent: 9330-PW/Eng-Projeu Teams Marital Status: Single Single <br /> location: Eugene Hotel Allowances: 3 3 <br /> Pa Rate: 51,650.40 Biwcekl Addl. Amt.: <br /> ••.:..:::::..::...:::::.~:::..~.::...it1~8` ~ <br /> >:1k..: <br /> Descri lion Rate Hours Earnln s Descn lion Current YTD <br /> Regular Pay 20.630000 72.00 1,48535 Fed Withholdng 145.91 2,476.88 <br /> Legal Holiday Taken 20.630000 8.00 165.03 Fed MED/EE 23.72 54491 <br /> Fed OASDI/EE 101.40 2329.96 <br /> OR Withholdng 87.61 1,81052 <br /> OR WORKR COMP Loc ER/EE 122 2639 <br /> Total: 80.00 1 38 Total: 359.86 7,188.66 <br /> :i:?k'.:.i :\4: <br /> r;::t;}i::L,:~::.~iik::. :,.:4v •i.:A•.i; <br /> v.+.:?:•X•1 <br /> : i. <br /> t•. <br /> Desc ' don Cumnt YTD Dear on Current YTD Desc don Current YTD <br /> Def Comp-ING 100.00 1,850.00 AFSCME FuU Titne Dues 18.9M 452.86 Health Itts -Managed Care 44750 9,14950 <br /> Health ins - Employce Pct 1d.85 146.40 Chantabk Contribudons 2.00 48.00 PER5 - Employce Share (6~) 99.OQ 2,26352 <br /> Life AD/D 1X Salary 0.00 99A0 <br /> Long Term Disability OAO 164.17 <br /> l Oslo <br /> S3~ ~ <br /> C~~t ~6 <br /> Total: 114.85 1 .40 Total: 20.94 500.86 • Taxabk <br /> , ~ : 'ii:: ' ~ ~rv`a;:~&. r r • - TEli`!'~ ~ r<.: ~:...:~.'.?#7:': . ~ . , : ..::J*.dl~f:`:.::: ; • . : :?:r,:; <br /> sc';C: <br /> Ctrrttnt: 1,65038 13553 359.86 135.79 1,154.73 Advice,f'0458487 1,154.73 <br /> YTD: 37 T2638 35729.98 7188.66 2 49726 28 .46 <br /> w. •2. tE,'~C+. :<.;•.•~~~'F'.~.;R:~,'yY~°•. >.oT•t:'., .Cs: <br /> ~f,'S::.f .:•~''.?:~c:'H.•.`k~b <br /> ~Gt <br /> '•Y'4~;u`,:;2'.:~ ::5,%i:'•':~~'.;~a <br /> .r;~x:..: • Total • 1 154.73 <br /> • . . ~ . • t!e~.,:::zc '.°.•fs ^'::z~~Mi3ifi? ` 3tiit...:; : ~:?~dl~lir'.:~~~:~< <br /> 95.63 75.42 39.85 0.00 0.00 OAO 0.00 OAO 0.00 <br /> 3.69 539 0:00 0.00 0.00 OAO OAO OAO 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 OAO 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 <br /> .End Balance 9932 80.80 39.85 0.00 0.00 0.00 0.00 0.00 0.00 <br /> . ' <?tts ;Y, . •.:;i:•,' . ~F.2`:.G: 2F?~'`9.`f,(:~`'`~F.: <br /> f..••:fi ; :o;:.:: ::CKE',a'wi.•3:: <br /> L 1 ' <br /> MESSAGE: T'~'1'r~ ~ l S C M. C~ ~ ~ ~ T ~~I 1 n C~1 D~ <br /> y <br /> v %,~g <br /> City of Eugen <br /> Eugerl®, Oregofl DA'T'E ADVTC >fi1 - <br /> 11/23/2 048487 DT~ECT DEPOSIT <br /> Deposited : ~ ` <br /> To The Account(s) of <br /> KEITi~ 11~,tTiJRASEVIL~ '14237 unt ~ ccount ~ um ~ sit ount <br /> , , <br /> 93~~i'W/Eng-Protect T~ah~s _ . <br /> :Eugene Hole1 _ ec ng <br /> ` w:: <br /> - I~ ~ N-NEGOTIABLE <br /> v ~ r ~ f~3~~~ NO <br /> ~ ' " <br /> <br />