Employee Compensation Record Name Address Phone Hours Worked Pay Period Date Ending Paid Earnings Total Regular Overtime Regular S M T W T F S Hours Overtime Rate Rate Total Full Time Part Time Soc. Sec. No. Date of Birth No. of Exemptions Deductions Federal Social Income Security Medicare Tax State Income Tax Net Pay S M T W T F S . . QUARTERLY TOTALS . . . . $ . . $ . . $ . . $ . . $ . . $ . . .
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