* When an employee moves. PAYROLL DEPARTMENT OF LABOR Wage and Hour Division OMB No.: 1235-0008 Expires 04/30/2018 NAME OF CONTRACTOR OR SUBCONTRACTOR ADDRESS ABC Construction 1234 Main Street, Nampa, Idaho PAYROLL NO. FOR WEEK ENDING PROJECT AND LOCATION PROJECT OR CONTRACT NO. 11 July 9, 2018 City of Reubens ICDBG-18-II-20-PF (1) (3) (4) DAY AND DATE (5) (6) (7) (8) (9) DEDUCTIONS NET S M T W T F S NAMEAND WORK TOTAL RATE GROSS WAGES 3 4 5 6 7 8 9 OTHER IDENTIFICATION NUMBER CLASSIFICATION HOURS OF PAY AMOUNT TOTAL PAID HOURS WORKED EACH DAY . FICA Health IRA (Union OF OF EMPLOYEE EARNED FOR DEDUCTIONS OT. TAX Dues) WEEK WITHHOLDING NO. EXEMPTIONS Matthew Stafford 1 Carpenter O 242.56 24.43 74.80 8.35 4.18 5.25 117.01 300.59 S 8 8 4 3 23 8.92 Matthew Stafford 1 General O 1 1 10.20 Laborer S 4 4 6.80 Jamaal Charles 2 Carpenter O 356.80 20.87 54.50 7.14 3.57 3.20 89.28 267.52 S 8 8 8 8 8 40 8.92 Matthew Stafford Since Stafford worked at more than one classification during the week: Use 2 lines, one for each classification Gross amount earned can be totaled and entered on one line HOW TO REPORT: * Working Subcontractor * Owner Working with Employees. PAYROLL DEPARTMENT OF LABOR
* When an employee moves. DEPARTMENT OF LABOR PAYROLL Wage and Hour Division OMB No.: 1235-0008 Expires 04/30/2018 NAME OF CONTRACTOR OR SUBCONTRACTOR ABC Construction ADDRESS 1234 Main Street, Nampa, Idaho PAYROLL NO. 11 FOR WEEK ENDING July 9, 2018 PROJECT AND LOCATION City of Reubens PROJECT OR CONTRACT NO. ICDBG-18-II-20-PF (1) NAMEAND IDENTIFICATION NUMBER OF EMPLOYEE NO. OF WITHHOLDING EXEMPTIONS (3) WORK CLASSIFICATION OT. . (4) DAY AND DATE (5) TOTAL HOURS (6) RATE OF PAY (7) GROSS AMOUNT EARNED (8) DEDUCTIONS (9) NET WAGES PAID FOR WEEK S M T W T F S 3 4 5 6 7 8 9 FICA TAX Health IRA OTHER (Union Dues) TOTAL DEDUCTIONS HOURS WORKED EACH DAY Matthew Stafford 1 Carpenter O 242.56 24.43 74.80 8.35 4.18 5.25 117.01 300.59 S 8 8 4 3 23 8.92 Matthew Stafford 1 General Laborer O 1 1 10.20 S 4 4 6.80 Jamaal Charles 2 Carpenter O 356.80 20.87 54.50 7.14 3.57 3.20 89.28 267.52 S 8 8 8 8 8 40 8.92 Matthew Stafford Since Stafford worked at more than one classification during the week: Use 2 lines, one for each classification Gross amount earned can be totaled and entered on one line HOW TO REPORT: * Working Subcontractor * Owner Working with Employees. DEPARTMENT OF LABOR PAYROLL
06-GA-18-manual-labor.docx