Earnings Statement
CO. FILE DEPT. CLOCK VCHR.NO 062
j8t 529641 343908 44962 0000032822
Period Beginning:
Period Ending:
Pay Date:
HOUSTON METHODIST HOSPITAL
(713) 790-3311
6565 FANNIN ST
HOUSTON, TX 77030
Taxable Marital Status:
Exemptions/Allowances:
Earnings
ALICA GOLDMAN
(210) 621-4174
1924 SWIFT BV
HOUSTON, TX 77030
Single
0
Rate
Hours
Amount
Year To Date
Regular
65.50
80.00
5,240.00
31,440.00
Overtime
98.25
17.00
1,670.25
7,221.40
Vacation
131.00
8.00
1,048.00
1,048.00
$7,958.25
39,709.40
FICA Medicare
- 117.79
578.18
FICA Social Security
- 493.41
2,461.98
- 1,626.93
7,464.03
- 0.00
0.00
Gross Pay
Deduction
03/03/2022
03/16/2022
03/18/2022
Other Benefits and
Information
This Period
Year To Date
Statutory
Federal Tax
State Tax
Net Pay
$5,720.12
Check
-5,720.12
Net Check
$0.00
HOUSTON METHODIST HOSPITAL
(713) 790-3311
6565 FANNIN ST
HOUSTON, TX 77030
Advice Number:
0000032822
Pay Date:
03/18/2022
Deposited to the account of
Account Number
Transit
ABA
Amount
ALICA GOLDMAN
xxxxxxx9288
xxxx
xxxx
$5,720.12
NON-NEGOTIABLE