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Advance Auto Parts Inc Statement of Earning & Deductions

2635 East Millbrook Road


Raleigh NC 27604

Employee Name & Address SSN Pay period Pay Date Employee ID

PATRICK LLOYD FOSS 522627043 05/17/2021 - 05/29/2021 964171171


424 MESA DR, 06/25/2021
Golden CO 80403

Gross earnings Hours Rate Total Statutory Deductions Total YTD

Salary $7500.00 FICA - Medicare $108.75 $652.50


FICA - Social Security $465.00 $2790.00

Federal Income Tax $1132.77 $6796.62

State Income Tax $354.38 $2126.28

YTD Gross YTD Deductions YTD Net Pay Gross Pay Deductions Net Pay
$45000.00 $12365.40 $32634.60 $7500.00 $2060.90 $5439.10

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