CO. FILE DEPT. CLOCK VCHR. NO.
036
TG0 002116 000030 0000060078 1 Earnings Statement
SPRINKLERMATIC FIRE PROTECTION SYSTEMS, INC. Period Beginning: 01/28/2024
4740 DAVIE RD. Period Ending: 02/03/2024
DAVIE, FL 33314 Pay Date: 02/09/2024
(954) 327-3686
JEREMIAH L. LANHAM
Filing Status: Head of household 12284 DEEDER LN.
Exemptions/Allowances:
Federal: Standard Withholding Table,$20 Extra
JACKSONVILLE FL 32258
Withholding
rate hours this period year to date Other Benefits and
Regular 20 0000 31 75 635 00 3 763 00 this period total to date
Holiday 328 00 Totl Hrs Worked 31 75
Gross Pay $635 00 4 091 00
BASIS OF PAY: HOURLY
Statutory
Federal Income Tax -20 00 120 00
Exemptions/Allowances:
Social Security Tax -38 61 249 08 FL: No State Income Tax
Medicare Tax -9 03 58 25
Aflac Accident -2 83* 16 98
CRITICAL ILL -2 13*
Dental Ppo -7 31* 43 86
Net Pay $555 09
Checking -555 09
Net Check $0 00
Excluded from federal taxable wages
Your federal taxable wages this period are $622 73
2000 ADP, Inc.
SPRINKLERMATIC FIRE PROTECTION SYSTEMS INC Advice number: 00000060078
4740 DAVIE RD Pay date: 02/09/2024
DAVIE FL 33314
(954) 327-3686
Deposited to the account of account number transit ABA amount
JEREMIAH L. LANHAM xxxxxxxxxxxxx7862 xxxx xxxx $555 09
NON-NEGOTIABLE