CO. FILE DEPT. CLOCK VCHR. NO.
V6J 102772 000KEN 0000270366 1
Earnings Statement
MARI DE VILLA RETIREMENT CENTER Period Beginning: 08/25/2025
13900 CLAYTON RD Period Ending: 08/31/2025
TOWN AND COUNTRY, MO 63017 Pay Date: 09/05/2025
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 10 45 403 68
Holiday Pay 180 00
Gross Pay $1 433 68 40 086 37
Exemptions/Allowances:
Statutory
Federal Income Tax -95 92 3 ,371 36
Social Security -88 89 2,443 17
Medicare -20 79 571 54
Missouri State Tax -33 00 1 ,199 00
Net Pay $1 195 08
Checking -1 195 08 1 195 08
Net Check $0 00
2000 ADP, Inc.
MARI DE VILLA RETIREMENT CENTER Advice number: 00000270366
13900 CLAYTON RD D Pay date: 09/05/2025
TOWN AND COUNTRY, 3 MO 63017
Deposited to the account of account number transit ABA amount
TIANA WILLIAMS xxxxxxxx4682 xxxx xxxx $1 195 08
NON-NEGOTIABLE