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HomeMy WebLinkAbout20230405125643357_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 OMB No.: White Rock Construction Inc. Gardnerville NV 89410 Expires: PAYROLL NO. FOR WEEK ENDING PROJECTAND LOCA71ON PROJECTOR CONTRACT NO. Keller Heavenly 3 33 3125/202312:00:00 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 Thu Fri Sat GROSS NAME AND;INDIVIDUAL IDENTIFYING NO.OF AMOUNT FEDERAL 'STATE NET NUMBER(e.g.,LAST FOUR DIGITS OF W/H OT 19 20 21 22 23 24 25 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 DEDUCTIONS FOR WEEK Dwight E Bolton 1 1000 0 2.50 3.00 1 5.50 88.20 _1,595.80 759 Homet Drive T3 S 8.00 8.00 16.00 69.42 2,583.32 160.17 270.66 114.68 37.46 23.25 606.22 1,977.10 Gardnerville NV 89460 Dwight E Bolton 1 1000 0 2.00 2.00 108.37 321.92 T5 S 1.50 1.50 70.12 Dwight E Bolton 1 1000 0 1.25 1.25 88.19 665.60 TE S 8.00 8.00 69.42 German Franco 1 1000 0 8.50 8.50 142.55 _1,211.68 1080 Centerville Road EX3 S 4,480.62 277.80 1,098.74 301.90 64.97 40.33 1,783.74 2,696.88 Gardnerville NV 89460 German Franco 1 1000 0 1.50 1.50 3.00 113.03 2,409.32 L04 S 8.00 8.00 8.00 24.00 86.26 German Franco 1 1000 0 1.50 1.50 113.03 859.62 L0928 S 8.00 8.00 86.26 Doug Hendon 0 1000 0 2.00 2.00 115.10 931.31 PO Box 54 EX3 S 8.00 8.00 87.64 931.31 57.74 130.47 26.61 13.50 8.38 236.70 694.61 Wellington NV 89444 Alejandro C Martinez 1 1000 0 1 1.501 1.501 79.79 _ 618.01 P.O.Box 13063 GI-3 S 8.00 8.00 62.29 2,167.71 134.40 233.25 139.88 31.43 19.51 558.47 1,609.24 South Lake Tahoe CA 96151 Alejandro C Martinez 1 1000 0 1.50 1.50 113.03 1,549.70 -------- L0928 S 8.00 8.00 16.00 86.26 Leslie McCrosky 0 1000 0 8.50 1.50 1.50 11.50 135.39 _3,660.32 897 Sprinq Valley Road EX3 S 8.00 8.00 8.00 24.00 87.64 4,519.94 280.24 762.63 314.80 65.54 40.68 1,463.89 3,056.05 Gardnerville NV 89410 Leslie McCrosky 0 1000 0 1.50 1.50 113.03 859.62 1-0928 5 8.00 8.00 86.26 Matthew Norberq 0 1000 0 4.00 1.50 1.50 1.50 8.50 128.01 _3,892.60 1517 Gilman Avenue EX3 S 8.00 8.00 8.00 8.00 32.00 87.64 4,281.76 265.47 705.47 290.44 62.09 38.54 1,362.01 2,919.75 Gardnerville NV 89410 Matthew Norberq 0 1000 0 4.00 4.00 97.29 389.16