HomeMy WebLinkAbout20230516114558982 U.S. Department of Labor PAYROLL
Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/formslwh347instr.htm)
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NAME OF CONTRACTOR_ OR SUBCONTRACTOR_ ADDRESS
769 Pinto Circle OMB No.:
White Rock Construction Inc. Gardnerville NV 89410 Fires:
PAYROLL NO. FOR WEEK ENDING PROJECTAND LOCATION PROJECTOR CONTRACT NO.
Keller Heavenly 3
39 5/6/2023 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 Thu Fri t Sat GROSS
NAME AND INDIVIDUAL IDENTIFYING NO,OF AMOUNT FEDERAL STATE NET
NUMBER(e.g.,LAST FOUR DIGITS OF W/H OT 30 1 2 1 3 4 5 6 EARNED WITH- WITH WAGES 1
SOCIAL SECURITY NUMBER)OF EXEMP WORK OR TOTAL RATE PROJECT 4 HOLDING HOLDING TOTAL PAID
WORKER TONS CLASSIFICATION ST i HOURS WORKED EACH DAY HOURS OF PAY /PERIOD FICA TAX TAX ' MEDICARE OTHER DEDUCTIONS FOR WEEK
Eduardo A Acevedo 1 1000 0 _2_,4_9_1._60
PO Box 425 GL3 S 8.00 8.00 8.00 8.00 8.00 40.00 62.29 2,491.60 154.48 407.14 167.10 36.13 22.42 787.27 1,704.33
Rincon PR 00677
Dwight E Bolton 1 1000 0 1.50 1.75 3.25 113.02 _1,876.88
759 Hornet Drive L0928 S 4.00 0.50 6.00 3.50 3.50 17.50 86.26 3,677.88 228.03 511.46 197.69 53.33 30.64 1,021.15 2,656.73
Gardnerville NV 89460
Dwight E Bolton 1 1000 0 1,527.25
T3 5 4.00 7.50 2.00 4.25 4.25 22.00 69.42
German Franco 1 1000 0 _2_,80_4.48
1080 Centerville Road EX3 S 8.00 8.00 8.00 8.00 32.00 87.64 3,302.80 204.77 714.74 181.40 47.89 29.73 1,178.53 2,124.27
Gardnerville NV 89460
German Franco 1 1000 0 1 1 498.32
GL3 S 8.00 8.00 62.29
Richard A Jacobson 1 1000 0 _1,744.12
P.O.Box 8720 GL3 S 6.00 6.00 8.00 4.00 4.00 28.00 62.29 2,522.52 156.40 414.56 176A8 36.58 22.70 806.42 1,716.10
South Lake Tahoe CA 96158
Richard A Jacobson 1 1000 0 431.30
L0928 S 1.00 1 1 4.00 1 5.00 86.26
Richard A Jacobson 1 1000 0 347.10
T3 S 1.00 4.00 5.00 69.42
Alejandro C Martinez 1 1000 0 _2,211.30
P.O.Box 13063 GL3 S 5.00 8.00 6.50 8.00 8.00 35.50 62.29 2,211.30 137.10 243.72 144.34 32.06 19.90 577.12 1,634A8
South Lake Tahoe CA 96151
Leslie McCroskv 0 1000 0 1 0.501 1 0.50 11SA0 _2,862.03
897 Sorinq Valley Road EX3 S 8.00 8.00 8.00 8.00 32.00 87.64 2,862.03 177.45 386.55 145.20 41.50 25.76 776.46 2,085.57
Gardnerville NV 89410
Steven Nieves Badillo 0 1000 0 _2,491.60
BO:Rio Grande HC 57 G3 S 8.00 8.00 8.00 8.00 8.00 40.00 62.29 2,491.60 154.48 446.83 175.98 36.13 22.42 835.84 1,655.76
Box 9042
Aquada PR 00602
Gerald S Rousseau III 1 1000 0 _ 934.35
727 Bluerock Road G13 S 5.00 2.00 4.00 4.00 15.00 62.29 2,573.29 159.54 545.34 181.38 37.31 273.31 1,196.88 1,376.41
Gardnerville NV 89460
Gerald S Rousseau III 1 1000 0 1,638.94