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Home My WebLink About20230531165051230 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 LOCATION PROJECT OR CONTRACT NO. Keller Heavenly 3 41 51201202312:00:00 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 DIGITSOF W/H OT 14 15' 16 17 18 19 20 EARNED WITH- 1 WITH- WAGES' SOCIAL'SECURITY NUMBER)OF EXEMP WORK OR TOTAL RATE PROJECT HOLDING 'HOLDING I TOTAL PAID WORKER TIONS CLASSIFICATION ST HOURS WORKED EACH DAY HOURS OF PAY I PERIOD FICA TAX TAX MEDICARE OTHER DEDUCTIONS FOR WEEK Eduardo A Acevedo 1 1000 0 _2,501.60 PO Box425 GLP S 8.00 8.00 8.00 8.00 8.00 40.00 62.54 21501.60 155.10 409.54 168.12 36.27 22.51 791.54 1,710.06 Rincon PR 00677 Dwight E Bolton 1 1000 0 0.25 0.25 89.24 _ 583.27 759 Homet Drive TS S 8.00 8.00 70.12 3,492.92 216.56 470.77 206.78 50.65 31.44 976.20 2,516.72 Gardnerville NV 89460 Dwight E Bolton 1 1000 0 2.00 2.25 3.75 8.00 88.20 2,909.65 TE S 8.00 8.00 8.00 7.7S 31.75 69.42 German Franco 1 1000 0 _3,155.04 1080 Centerville Road EX3 S 8.00 8.00 8.00 8.00 4.00 36.00 87.64 3,405.20 211.12 747.51 191.88 49.38 30.65 1,230.54 2,174.66 Gardnerville NV 89460 German Franco 1 1000 0 1 1 250.16 GLP 5 4.00 4.00 62.54 Richard A Jacobson 1 1000 0 _2_,4_0_7.79 P.O.Box 8720 GLP S 8.00 8.00 8.00 8.00 6.50 38.50 62.54 2,407.79 149.28 387.02 164.44 34.91 21.67 757.32 1,650.47 South Lake Tahoe CA 96158 Alejandro C Martinez 1 1000 0 _2_,470.33 P.O.Box 13063 GLP S 8.00 8.00 7.50 8.00 8.00 1 39.50 62.54 2,470.33 153.16 305.88 170.84 35.82 22.23 687.93 1,782.40 South Lake Tahoe CA 96151 Leslie McCroskv 0 1000 0 _1,813.66 897 Sprinq Valley Road GLP S 8.00 8.00 4.00 4.00 5.00 29.00 62.54 2,762.52 171.28 364.66 135.02 40.06 24.86 735.88 2,026.64 Gardnerville NV 89410 Leslie McCroskv 0 1000 0 948.86 L0928 S 4.00 4.00 3.00 11.00 86.26 Steven Nieves Badilto 0 1000 0 _2,501.60 BO:Rio Grande HC 57 GLP S 8.00 8.00 8.00 8.00 8.00 40.00 62.54 2,501.60 155.10 449.23 177.00 36.27 22.51 840.11 1,661.49 Box 9042 Aquada PR 00602 Richard R Nieves Sanchez 1 1000 0 _2_,37_6_._52 HC57 Box 9042 GLP S 8.00 8.00 8.00 6.00 8.00 38.00 62.54 2,549.04 158.04 420.92 178.89 36.96 22.94 817.75 1,731.29 Aquada PR 00602 Richard R Nieves Sanchez 1 1000 0 172.52 L0928 S 2.00 2.00 86.26 Gerald S Rousseau III 1 1000 0 _ 8 727 Bluerock Road GLP S 1 8.00 8.00 8.00 8.00 5.00 37.00 62.54 21313.98 1 143.47 455.86 154.851 33.55 270.98 1,058.71 1,255.27