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PAY STUB WORK PERIOD Earning statement Type of Work EARNINGS TA HOURS WORKED Overtime Reg Time Week Ending * Reg Rate Wages Other TOTAL EARNINGS

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PAY STUB WORK PERIOD Earning statement Type of Work EARNINGS TA HOURS WORKED Overtime Reg Time Week Ending * Reg Rate Wages Other TOTAL EARNINGS YR MTH DAY X1.5 x2 DEDUCTIONS M Pension Union Dues Plan EI Income Tax Tax Red Gov't Amount Pension Plan Other Deductions Health ins Group Insurance others TOTAL DEDUCTIONS EMPLOYEE INFORMATION EMPLOYER INFORMATION AMOUNT PAID PAY STUB WORK PERIOD Earning statement Type of Work EARNINGS TA HOURS WORKED Overtime Reg Time Week Ending * Reg Rate Wages Other TOTAL EARNINGS YR MTH DAY X1.5 x2 DEDUCTIONS M Pension Union Dues Plan EI Income Tax Tax Red Gov't Amount Pension Plan Other Deductions Health ins Group Insurance others TOTAL DEDUCTIONS EMPLOYEE INFORMATION EMPLOYER INFORMATION AMOUNT PAID

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