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HomeMy WebLinkAbout20230326114949164_Redacted U.S. Department of Labor PAYROLL Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/forms/wh347instr.htm) Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. NAME OF CONTRACTOR_ OR SUBCONTRACTOR_ ADDRESS 769 Pinto Circle FEpMB ND.: White Rock Construction Inc. Gardnerville NV 89410 ires: PAYROLL NO. FOR WEEK ENDING PROJECTAND LOCATION PROJECT OR CONTRACT NO. Keller Heavenly 3 32 3/18/2023 12:00:00 AM 1275 Meadow Crest Drive South Lake Tahoe CA (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8)DEDUCTIONS (9) Sun Mon' Tue Wed Thin Fri Sat GROSS NAME AND INDIVIDUAL IDENTIFYING NO`.OF AMOUNT FEDERAL STATE NET NUMBER(e.g.,LAST FOUR DIGITS OF W/H OT 12 13 14 15 16: 17 18 EARNED WITH- WITH- WAGES SOCIAL SECURITY NUMBER)OF EXEMP WORK OR TOTAL RATE PROJECT HOLDING HOLDING TOTAL PAID WORKER TIONS CLASSIFICATION ST HOURS WORKED EACH DAY HOURS OF PAY /PERIOD FICA TAX TAX MEDICARE OTHER i DEDUCTIONS FOR WEEK Dwight E Bolton 1 1000 0 3.00 2.00 10.00 15.00 116.59 _2_,87_0_._29 759 Homet Drive L0928 S 5.00 8.00 13.00 86.26 4,068.55 252.25 597.41 164.39 58.99 27.71 1,100.75 2,967.80 Gardnerville NV 89460 Dwight E Bolton 1 1000 0 208.26 T5 S 3.00 3.00 69.42 German Franco 1 1000 0 1 1.001 1 1.00 115.10 _ 816.22 1080 Centerville Road B04 5 8.00 8.00 87.64 5,218.75 323.56 1,357.08 352.85 75.67 44.81 2,153.97 3,064.78 Gardnerville NV 89460 German Franco 1 1000 0 2.00 10.001 12.00 119.67 3,364.13 EX3 S 6.00 8.00 8.00 22.001 87.64 German Franco 1 1000 0 2.00 2.00 97.29 194.58 GL3 S German Franco 1 1000 0 603.82 1_0928 S 7.00 7.00 86.26 Leslie McCrosky 0 1000 0 1.00 2.00 2.00 10.00 15.00 118.76 _3,271.22 897 Sixinq Valley Road EX3 S 1.00 8.00 8.00 17.00 87.64 4,977.61 308.61 872.47 350.88 72.18 43.85 1,647.99 3,329.62 Gardnerville NV 89410 Leslie McCrosky 0 1000 0 862.60 L0928 S 5.00 5.00 10.00 86.26 Leslie McCrosky 0 1000 0 381.81 T3 S 5.50 5.50 69.42 Leslie McCrosky 0 1000 0 2.00 2.00 108.37 356.98 -------- T5 S 2.00 2.001 70.12 Matthew Norberg 0 1000 0 3.50 2.00 2.00 10.00 17.50 118.23 _3,734.23 1517 Gilman Avenue EX3 S 3.00 8.00 8.00 19.00 87.64 4,952.58 307.06 866.47 359.06 71.81 44.57 1,648.97 3,303.61 Gardnerville NV 89410 Matthew Norberg 0 1000 0 8673S T3 1S 5.50 7.00 12.50 69.42 Matthew Norberg 1 0 1000 0 1 350.60