SEASIDE HCBS, LLC
ARTENITA LEWIS
710 VERSAILLES BLVD
ALEXANDRIA LA 71303
EMPLOYEE ID: 4255
DEPARTMENT: 14704100617
DD RECEIPT: 1028299328
Pay Period
Pay Date
FITWH
LA
02/09/2020 - 02/22/2020
02/28/2020
RATE
14.00
Earnings
Hourly
OT
‡Cell Stip
‡MilStipend
PTO
Repull
Total
Filing Status: S Exemptions: 6
Filing Status: S Exemptions: 1
HOUR/UNIT
33.44
CURRENT
468.16
YTD HOUR/UNIT
259.48
1.08
YTD
3,632.72
22.68
80.75
1,000.00
448.00
310.10
$5,494.25
16.15
200.00
33.44
CURRENT
8.58
3.06
1.02
3.63
$16.29
Deductions
STD
Vision
VolLife CH
VolLife EE
Total
Time Off (hours)
ACCRUED
TAKEN
HCBS PTO
32.00
22.15
314.71
$684.31
YTD
42.90
15.30
5.10
18.15
$81.45
Taxes
AVAILABLE
31.084
Net Pay
CURRENT
FITWH
MED
SOC
LA
Total
YTD
8.74
63.78
272.69
106.32
$451.53
6.74
28.84
5.32
$40.90
XXXXX1380
$627.12
THIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY.
SEASIDE HCBS, LLC
710 VERSAILLES BLVD
ALEXANDRIA LA 71303
Direct Deposit # 1028299328
Date
02/28/2020
Pay this Amount
** N O N - N E G O T I A B L E ** D I R E C T D E P O S I T R E C E I P T **
HCBSLA
Pay to the
Order of
14704100617
ARTENITA LEWIS
419 REFINERY STREET UNIT B
LAFAYETTE LA 70501
VOID ** VOID **
DD
DIRECT DEPOSIT $627.12
TO ACCOUNT # XXXXX1380
BANK #
XXXXX4588
NON-NEGOTIABLE