CO. FILE DEPT. CLOCK VCHR. NO.
V6J 102772 000KEN 0000269111 1
Earnings Statement
MARI DE VILLA RETIREMENT CENTER Period Beginning: 08/04/2025
13900 CLAYTON RD Period Ending: 08/10/2025
TOWN AND COUNTRY, MO 63017 Pay Date: 08/15/2025
TIANA WILLIAMS
Filing Status: Single/Married filing separately 1405 PINE ST
Exemptions/Allowances:
Federal:
SAINT LOUIS MO 63103
rate hours this period year to date Other Benefits and
Regular 25 7500 40 00 1 030 00 this period total to date
Overtime 38 6300 13 21 510 30
Holiday Pay 180 00
Gross Pay $1 540 30 35 356 14
Exemptions/Allowances:
Statutory
Federal Income Tax -106 58 3 ,036 66
Social Security -95 50 2,149 90
Medicare -22 34 502 94
Missouri State Tax -38 00 1 ,080 00
Net Pay $1 277 88
Checking -1 277 88 1 277 88
Net Check $0 00
2000 ADP, Inc.
MARI DE VILLA RETIREMENT CENTER Advice number: 00000269111
13900 CLAYTON RD D Pay date: 08/15/2025
TOWN AND COUNTRY, 3 MO 63017
Deposited to the account of account number transit ABA amount
TIANA WILLIAMS xxxxxxxx4682 xxxx xxxx $1 277 88
NON-NEGOTIABLE