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								| Big Employer 123 Any St.
 Big City, ST 12345
 |  | Check # 3456 Date:
										01/04/2013
 |  
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								| John Q. Public 789 Main St.
 Apt. 234
 My Town, ST 12567
 | Net Pay: $ 1111.11 |  
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					| PAY | Hours | Rate | Current | YTD |  
							| Salary | 
											 
										 | 
											 
										 | 
											 1766.65
										 | 
									 1766.65
								 |  |  | 
				
					| TAXES WITHHELD | Current | YTD |  
							| Federal Income Tax | 
											 333.33
										 | 
									 333.33
								 |  
							| Social Security | 
											 222.22
										 | 
									 222.22
								 |  
							| Medicare | 
											 99.99
										 | 
									 99.99
								 |  |  
		|  | 
				
					| SUMMARY | Current | YTD |  
					| Total Pay | 
							1766.65
						 | 
							1766.65
						 |  
					| Deductions | 
							0.00
						 | 
							0.00
						 |  
					| Taxes | 
							655.54
						 | 
							655.54
						 |  
				
					| Net This Check: | $1,111.11 |  |  |  |