ALESIA C KIRK Pay Group: D05 Company: AUS Check #: 49579673

Pay Cycle Begin Date: 03/27/2017 Employee ID: 5271106 Check Date: 04/06/2017
Hand/3790 Wrap/00201 Office/0937 Pay Cycle End Date: 04/02/2017 Office: 0937 Adecco USA Inc
Customer Service #: 8665280707

ALESIA C KIRK WEEK WORKED TAX DATA: Federal KY State

7811 COLUMBINE DR 03/27/17-04/02/17 Marital Status: Married N/A
LOUISVILLE, KY 402582425 Allowances: 0 0
Addl Pct.: 0 0
Addl Amt: 0 0
HOURS AND EARNINGS TAXES
-------- Current-------- ---YTD--- Current YTD
Week Worked Earnings Rate Hours Earnings Hours Earnings Assignment # Description
03/27/17 04/02/17 REG 11.00 15.00 165.00 15.00 165.00 093710650703 Fed Withholdng 0.00 0.00
Fed MED/EE 2.39 2.39
Fed OASDI/EE 10.23 10.23
KY Withholdng 3.56 3.56
KY JEFFCO -SD Withholdng 2.39 2.39
KY JEFF CO SD Withholdng 1.24 1.24

Total: 15.00 165.00 15.00 165.00 Total: 19.81 19.81

BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS
Description Current YTD Description Current YTD Description Current YTD

*Taxable 0.00 0.00

Description Accrued Hrs Hrs Taken Available Last Updt

Total: 0.00 0.00 Total: 0.00 0.00

TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
Current: 165.00 165.00 19.81 0.00 145.19
YTD: 165.00 0.00 19.81 0.00 145.19
NET PAY DISTRIBUTION
Advice # 49579673 145.19
DDP Acct # XXX6014 145.19
Work Locations Total: 145.19
GSI COMMERCE
SOLUTIONS INC
7601 TRADE PORT DR Adecco USA Inc
FULFILLMENT CENTER 175 Broad Hollow Road
LOUISVILLE
KY 40258-1879 Melville, NY 117478905
(502)995-223 Ext 54301

Verify your name, address and tax data as shown. For changes, submit an updated W4
to your local branch. This information will be used to issue your Year End Wage
Statement.

Adecco USA Inc Advice No. 49579673

7601 Trade Port Dr
Louisville KY 402581879
NOT A CHECK Date: 04/06/2017

NON-NEGOTIABLE
Pay ****ONE HUNDRED FORTY FIVE DOLLARS AND 19 CENTS**** $145.19***********

To The Order Of ALESIA C KIRK

7811 COLUMBINE DR
LOUISVILLE KY 402582425