KIPLEY COMPANY

Payroll Register

Time Card No. Name Martial

Status No of W/H Earnings SIMPLE Ded. FIT SIT CIT

11 Carson, F. S 1 $700.00 20

12 Wilson, W. S 0 897.04 50

13 Utley, H. M 2 678.75 40

21 Fife, L. M 4 877.10 50

22 Smith, L. S 2 790.00 20

31 Fay, G. M 3 539.15 40

32 Robey, G. M 6 623.08 50

33 Schork, T. S 1 773.08 60

51 Hardy, B. M 5 666.11 30

99 Kipley, C. M 7 1,000.00 80

Totals