CO. FILE DEPT. CLOCK VCHR. NO.
AAK 134212 129900 2446 0000392447 1
Earnings Statement
AMAZON.COM SERVICES LLC Period Beginning: 09/03/2023
ATTN: AMAZON PAYROLL Period Ending: 09/09/2023
202 WESTLAKE AVE N Pay Date: 09/15/2023
SEATTLE, WA 98109
DORA V CACERES MONTAUTI
Filing Status: Single/Married filing separately 6853 FALLBROOK PLACE
Exemptions/Allowances:
Federal: Standard Withholding Table
ORLANDO FL 32821
rate hours this period year to date
Regular 18 4000 30 00 552 00 20 377 54
Excluded from federal taxable wages
Holiday Pay 18 4000 8 00 147 20 857 60
Your federal taxable wages this period are $632 72
Overtime 55 32
Ead Reimburse 410 00 Other Benefits and
Gift Imputed 26 63 this period total to date
Holiday O/T 388 73 Groupterm Life 1 43 47 24
Personal Time 844 80 Tot Work Hours 30 00
Vacation Pay 870 40 Vacation Balnce 39 37
Gross Pay $699 20 23 831 02
YOUR COMPANY PHONE NUMBER IS 888-892-7180
Statutory
Federal Income Tax -1 27 90 29 BASIS OF PAY: HOURLY
Social Security Tax -42 36 1 414 80
Medicare Tax -9 91 330 88 IF YOU HAVE PAY RELATED QUESTIONS, VISIT
HTTPS://ATOZ.AMAZON.WORK AND CLICK RESOURCES.
Accident Ins -2 00 74 00
Pre-Tax Dental -10 62* 392 94 Exemptions/Allowances:
Pre-Tax Vision -6 92* 256 04 FL: No State Income Tax
Slifcd -0 35 12 95
Supp Ad/D -2 47 88 59
Supp Life Ins -4 88 173 91
401K-Trad -48 94* 1 529 44
Gift Offset 26 63
Net Pay $569 48
Checking Acct 1 -569 48
Net Check $0 00
2000 ADP, Inc.
AMAZON COM SERVICES LLC Advice number: 00000392447
ATTN: AMAZON PAYROLL Pay date: 09/15/2023
202 WESTLAKE AVE N
SEATTLE WA 98109
Deposited to the account of account number transit ABA amount
DORA V CACERES MONTAUTI xxxxxxxx0685 xxxx xxxx $569 48
NON-NEGOTIABLE
