DEPARTMENT OCCUPATION WORKS IN (STATE: SEX 3 5 ACCOUNT NO. NAME - LAST FIRST MIDDLE OTHER DEDUCTIONS INFORMATION SALARY FILING GROUP INSURANCE UNION DUES OTHER WEEKLY RATE ALLOW. STATUS HOURLY RATE OVERTIME RATE 20 REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS NET PAID PAYDAY EARNINGS FICA OTHER CK. HRS. RATE AMOUNT HRS. RATE AMOUNT DASDI HI FIT SIT SUTA CIT SIMPLE DEDUCTIONS NO. AMOUNT WCAR-TO 1 E QTR. TOT. YR. TOT. DEPARTMENT OCCUPATION WORKS IN (STATE SEX 5 5. ACCOUNT NO. NAME - LAST FIRST MIDDLE F OTHER DEDUCTIONS INFORMATION SALARY WH FILING GROUP INSURANCE UNION DUES OTHER WEEKLY RATE ALLOW. STATUS HOURLY RATE OVERTIME RATE 20 REGULAR EARNINGS OVERTIME EARNINGS CUMULATIVE DEDUCTIONS NET PAID PAYDAY EARNINGS FICA OTHER CK. HRS. RATE AMOUNT HAS. RATE AMOUNT DASD HI FIT SIT SUTA GIT SIMPLE DEDUCTIONS NO. AMOUNT YEAR-TOEATE QTR. TOT. YR. TOT