DEPARTMENT OF DEFENSE 1.

Pay Period End

07/17/10
CIVILIAN LEAVE AND EARNINGS STATEMENT 2. Pay Date
VISIT THE DFAS WEB SITE AT: WWW.DFAS.MIL 07/29/10

3. Name 4. Pay Plan/Grade/Step 5. Hourly/Daily/Rate 6. Basic/OT Rate 7. Basic Pay + Locality Adj = Adjusted Basic Pay
GS/WG *** $$$ 0.00 $$$ $$$ $$$
8. Soc Sec No 9. Locality % 10. FLSA Category 11. SCD Leave 12. Max Leave Carry Over 13. Leave Year End
***-**-**** 20.35 E 03/15/09 240 01/01/11
14. Financial Institution - Net Pay 15. Financial Institution - Allotment #1 16. Financial Institution - Allotment #2
WELLS FARGO BANK NA
17. Tax Marital Exemptions Add'l 18. Tax Marital Exemptions Add'l Taxing Authority 19. Cumulative Retirement 20. Military Deposit
Status Status FERS:
FED M 5 0 343.13
OR M 4 0 Make sure the exemptions = what you elected on your W-4

21. Current Year to Date 22.

GROSS PAY 1,896.31 25,768.00 TSP DATA 5%
TAXABLE WAGES 1,659.24 22,713.24
NONTAXABLE WAGES 158.71 1,978.64 This block shows what your current election for
TAX DEFERRED WAGES 78.36 1,076.12
TSP contributions is per pay period. You can
DEDUCTIONS 521.88 6,835.21
AEIC submit a TSP-1 Form at any time to change
NET PAY 1,374.43 18,932.79 this election
CURRENT EARNINGS
TYPE HOURS/DAYS AMOUNT TYPE HOURS/DAYS AMOUNT TYPE HOURS/DAYS AMOUNT
REGULAR PAY 80.00 1,567.20

DEDUCTIONS
TYPE CODE CURRENT YEAR TO DATE TYPE CODE CURRENT YEAR TO DATE
FEGLI C0 6.45 90.30 FEHB 112 108.91 1,515.74
MEDICARE 25.20 344.95 OASDI 107.73 1,474.94
PRE FEHB COL 0.00 108.91 RETIRE, FERS N 12.54 172.20
TAX, FEDERAL 43.60 362.03 TAX, STATE OR 89.29 1,336.03
TSP SAVINGS 78.36 1,076.12 DENTAL 38.18 267.26
VISION 11.62 86.73

LEAVE
TYPE PRIOR YR ACCRUED ACCRUED USED USED DONATED/ CURRENT USE-LOSE/
BALANCE PAY PD YTD PAY PD YTD RETURNED BALANCE TERM DATE
ANNUAL 13.30 4.00 51.60 16.00 57.20 0.00 7.70
SICK 18.30 4.00 51.60 8.00 60.30 0.00 9.60
COMPENSATORY 0.00 0.00 34.00 0.00 32.00 0.00 2.00
TRAVEL COMP 0.00 0.00 47.50 8.00 12.50 0.00 35.00
TIME OFF AWD 0.00 0.00 40.00 0.00 0.00 0.00 40.00
MILITARY 8.00 0.00 120.00 0.00 128.00 0.00 0.00
HOLIDAY 0.00 0.00 0.00 8.00 32.00 0.00 0.00
MIL LWOP 0.00 0.00 0.00 0.00 88.00 0.00 0.00

BENEFITS PAID BY GOVERNMENT FOR YOU

TYPE CURRENT YEAR TO DATE TYPE CURRENT YEAR TO DATE
FEGLI 3.23 45.22 FEHB 326.75 4,874.25
MEDICARE 25.20 344.95 OASDI 107.73 1,474.94
RETIRE, FERS 219.41 3,013.17 TSP BASIC 15.67 215.20
TSP MATCHING 62.69 860.92

FEGLI – Federal Employee Group Life Insurance Anything highlighted in Green means there has been a
TSP Savings - Thrift Savings Plan change to it since your last LES, if you click on it you can
Vision – Your Vision Plan see the difference.
OASDI – Social Security
FEHB – Federal Employee Health Benefits
Dental – Your Dental Plan
FERS – Federal Employee Retirement System
NGAUS – Disability Insurance

Stars are there to show deductions that you would have ELECTED to have. Please check these every pay period to make
sure they are correct. For FEHB you will also want to check the “Code” with the 3 digit number representing the health plan
that you chose, make sure this code matches the election you made when you filled out your SF 2809 Health Enrollment
Form.