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Check Hours � Hours B 7otal Fed. Tax Socia{ Group State Tax Ba�ance ot <br />No. Name Period Requiar Overtime Amount Withheld PERA Securitv tnsurance Wfthha9d Earninqs <br />2499 Dorothy J. Zehm 6/T6-30/69 98¢ 294.75 49.40 17.69 -0- -0- i0.4Q 2i7.26 <br />78in nnrn+h�� J 7nhm 7/i_95/RO 07 Oof nn An An f1 et n �� �n �n •n .�a �. <br />Shir3e�Hi 11 6 <br />Federal Reserve 8ank oS MI <br />Stat•e Treasurer - PERfl <br />St�ate Treasurer - Sociat S <br />Blue Cross - h1B i <br />Commissionor of�Taxatton - <br />Toia§s <br />t <br />{"� <br />JV.JV VV.7V -U� �V- iV. <br />so.ea >>.7a ta.aa -o- �o. <br />98.70 31.59 -0- 1.80 t7. <br />76.00 28.26 -0- 3.48 14. <br />-o- -�- -�- -�- -�- <br />• <br />11,979.92 1776.70 529.46 160.77 <br />• <br />i60.48 396.70 11,979.92 <br />�J <br />