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STATON COMPAME Pay Period Date: 11/13/04 Certified ~roli Report Contract 20:)5-00017 <br /> <br /> 85388 HWY 99S Week Ending: 11/13/04 Job No: 04164 <br /> PO BOX 7515 Payroll No: 3 Job Name: CITY OF EUG/LINCOLN~r ARDS <br /> EUGENE, OR 97401 <br /> 541 726-9422 <br /> # Exemptions Hours <br /> Social Security SUN MON TUE WED THU FRI SAT Check Totals ? <br /> Employee Work Class 07 08 09 10 11 12 13 Total Rate Gross Pay Deductions Totals <br /> COX, MATTHEW C Ex: M-04 C M O 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 28.54 57.08 Fed WM 62.54 Gross 980.15 <br /> 2648 BELL AVENUE 544-21,4936 S 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.50 19.03 9.52 FICA 68.92 Taxes 196.45 <br /> LABOR State WM 64.99 Deducts 130.28 <br /> FRINGE 5.56 13.89 Local WM 0.00 Add-Ons 60.00 <br /> EUGENE, OR 97402 <br /> Other Job Pay `HEALTH -WE 3.18 1.59 Wcomp/Sdi 0.00 Net Pay 713.42 <br /> MEDICAL PR Check E01071 <br /> MATE C PUR 50.00 <br /> MISC. MEDI 12.50 <br /> PENSION PL 6.25 <br /> COMP DAYS 1.03 <br /> Total Job Gross 80.49 <br /> 'Non-cash benefits 1.59 <br /> STATON, JEFFERY Ex: S-03 C M O 0.00 0.00 1.50 2.00 2.00 1.00 0.00 6.50 33.91 220.42 Fed W/H 99.46 Gross 1,350.70 <br /> 1785 LEHIGH WAY 543-23-8729 S 0.00 2.00 8.00 8.00 8.00 8.00 0.00 34.00 22.61 768.74 FICA 87.32 Taxes 268.28 <br /> OPERATOR/HYD HOE State W/H 81.50 p~~s 339.18 <br /> FRINGE 3.19 129.31 Local W/H 0.00 <br /> ALBANY, OR 97322 Other Job Pa `HEALTH -WE 3.88 131.92 Wcorr~/Sdi 000 Add-0ns 0.00 <br /> Y Net Pay 743.24 <br /> PENSION PL 123.75 Check E01082 <br /> JEFF PURCH 75•~ <br /> MEDICAL PR 60.50 <br /> 401-K PLAN 54.03 <br /> MISC. MEDI 25.00 <br /> COMP DAYS 0.90 <br /> Total Job Gross 1,118.47 <br /> 'Non-cash benefits 131 92 <br /> STATON, JEFFERY Ex: S-03 C M O 0.00 1.00 1.00 0.00 0.00 1.00 0.00 3.00 28.54 85.62 Fed W/H 99.46 Gross 1,350.70 <br /> 1785 LEHIGH WAY 543-23-8729 S 0.00 6.00 0.00 0.00 0.00 0.00 0.00 6.00 19.03 114.18 FICA 87.32 Taxes 268.28 <br /> LABOR State WM 81.50 Deducts 339.18 <br /> ALBANY, OR 97322 FRINGE 3.60 32.43 Local WM 0.00 Add-0ns 0.00 <br /> Other Job Pay 'HEALTH -WE 3.88 23.28 Wcomp/Sdi 0.00 Net Pay 743.24 <br /> PENSION PL 123.75 Check E01082 <br /> JEFF PURCH 75.00 <br /> MEDICAL PR 60.50 <br /> 401-K PLAN 54.03 <br /> MISC. MEDI 25.00 <br /> COMP DAYS 0.90 <br /> Total Job Gross 232.23 <br /> `Non-cash benefits 23.28 <br /> Hours <br /> SUN MON TUE WED THU FRI SAT <br /> 07 08 09 10 11 12 13 Total <br /> D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 <br /> Job Totals: O 0.00 1.00 2.50 2.00 2.00 4.00 0.00 11.50 <br /> S 0.00 8.00 8.00 8.00 8.00 8.50 0.00 40.50 <br /> Page 2 <br /> <br />