Earnings Statement
CO. FILE DEPT. CLOCK VCHR.NO 062
3y8 790114 007528 29959 0000014708
Period Beginning:
Period Ending:
Pay Date:
DOLLAR GENERAL CORP
100 MISSION RIDGE
GOODLETTSVILLE, SD 37072
DONALD BOWEN
(562) 209-8632
21905 BIRCHWOOD
MISSION VIEJO, CA 92692
Social Security Number: XXX-XX-9924
Taxable Marital Status: Single
Exemptions/Allowances: 0
Earnings
Rate
Amount
Year To Date
52,635.19
4,386.27
52,635.24
$4,386.27
52,635.24
- 63.60
763.21
FICA Social Security
- 271.95
3,263.39
Federal Tax
- 369.52
4,434.24
State Tax
- 136.39
1,636.70
- 52.64
631.63
Salary
Gross Pay
Deduction
10/28/2023
11/27/2023
12/01/2023
Other Benefits and
Information
This Period
Year To Date
Statutory
FICA Medicare
SDI
Net Pay
$3,492.17
Check
-3,492.17
Net Check
$0.00
DOLLAR GENERAL CORP
100 MISSION RIDGE
GOODLETTSVILLE, SD 37072
Advice Number:
0000014708
Pay Date:
12/01/2023
Social Security Number:
XXX-XX-9924
Deposited to the account of
Account Number
Transit
ABA
Amount
DONALD BOWEN
xxxxxxx9723
xxxx
xxxx
$3,492.17
NON-NEGOTIABLE