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101722 Certified payroll report
Project Work Pay Sat Sun Mon Tue Wed Thu Fri Timesheet Paid Pay Job Fringe Check Total Social Medi-Federal State Total Employee Name ID Classification Type 1 2 3 4 5 6 7 Hours Hours Rate Gross Pay Rate Number Gross Pay Security care Tax Tax Other Deduct Net Pay Federico Marquez Cobian 5870 Asphalt Worker RT 5.00 5.00 5.00 15.00 15.00 60.24 903.60 0.00 903.60 56.02 13.10 0.00 11.87 9.94 90.93 812.67 Rosendo Perez Diaz 2213 Asphalt Worker RT 5.00 5.00 5.00 15.00 15.00 60.24 903.60 0.00 903.60 56.02 13.10 0.00 11.87 9.94 90.93 812.67 Tax ID 26-1763299 Hours Worked by Day PO BOX 16183 Payroll Number 1 For Week Ending 10/7/2022South Lake Tahoe, CA 96151 Certified Payroll Report Contractor Tieslau Excavating STPUD Project/Contract #