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Home My WebLink About20230426123817366 U.S. Department of Labor PAYROLL Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.govlwhd/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 LOCATION PROJECTOR CONTRACT NO. Keller Heavenly 3 37 4/22/2023 12:00:00 AM 1275 Meadow Crest Drive South Lake Tahoe CA (1) (2) (3) (4)DAY AND DATE P (5)= (6) (7) (8)DEDUCTIONS (9)t Sun Mon Tue Wed Thu Fri at GROSS NAME AND INDIVIDUAL IDENTIFYING NO.OF AMOUNT FEDERAL STATE NET NUMBER(e.g.,LAST FOUR DIGITS OF W/H OT 16 17 18 19 20 21 22 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 I _1,150.47 759 Hornet Drive CSO 5 6.50 4.50 2.75 13.75 83.67 4,213.60 261.24 629.57 280.50 61.10 37.92 1,270.33 2,943.27 Gardnerville NV 89460 Dwight E Bolton 1 1000 0 4.00 4.50 3.00 3.75 15.25 88.20 3,063.13 T3 5 1.50 3.50 6.50 8.00 5.25 24.75 69.42 German Franco 1 1000 0 1.00 1.00 109.14 _ 778.50 1080 Centerville Road C50 S 8.00 8.00 83.67 4,115.24 255.14 974.72 264.52 59.67 37.04 1,591.09 2,524.15 Gardnerville NV 89460 German Franco 1 1000 0 1.00 2.S0 1.50 5.00 115.10 2,678.84 EX3 S 8.00 8.00 8.00 24.00 87.64 German Franco 1 1000 0 2.00 2.00 79.79 657.90 GL3 S 1 1 8.00 1 1 8.00 62.29 Alejandro C Martinez 1 1000 0 1 2.00 r 1.00 4.00 79.79 _2,374.73 P.O.Box 13063 GL3 S 3.00 8.00 6.00 8.00 33.00 62.29 2,374.73 147.23 282.94 161.06 34.43 21.37 647.03 1,727.70 South Lake Tahoe CA 96151 Leslie McCrosky 0 1000 0 1.00 117.32 1,275.88 897 Sorinq Valley Road BO S 5.00 13.00 89.12 4,482.26 277.90 753.59 310.95 64.99 40.34 1,447.77 3,034.49 Gardnerville NV 89410 Leslie McCrosky 0 1000 0 1.00 1 1.00 115.10 1,867.90 EX3 S 7.00 5.00 8.00 20.00 87.64 Leslie McCroskv 0 1000 0 2.00 2.50 2.00 6.50 113.02 1,338.48 L0928 5 3.00 1.00 3.00 7.00 86.26 Gerald S Rousseau III 1 1000 0 _1,255.05 727 Bluerock Road CSO 5 3.00 7.00 4.00 1.00 15.00 83.67 2,712.93 168.20 594.21 195.66 39.34 274.57 1,271.98 1,440.95 Gardnerville NV 89460 Gerald S Rousseau III 1 1000 10 2.00 1.00 1.00 1.00 1 5.00 79.79 1,457.88