Los Rios Community College District Date Advice No. 1919 Spanos Ct 09/30/06 123456 Sacramento, CA 95825

Deposit Amount: To The Account(s) Of JOHN JONES 1 Main Street Sacramento, CA 95825 Location: American River College

NON-NEGOTIABLE

Los Rios Community College District 1919 Spanos Ct. Sacramento, CA 95825 John Jones 1 Main Street Sacramento, CA 95825

Employee ID: XXXXXXX Department: Location: ARC Job Title: Pay Rate: $5,814.80 Monthly

TAX DATA: Federal CA State Marital Status Single Sgl/M w/2 incomesAllowances: 3 3 Addl. Pct: Addl. Amt:

HOURS AND EARNINGS TAXES ------------- Current ----------- -------- YTD -------- Description Rate Hours Earnings Hours Earnings

Description Current YTD

Regular Dom. Partner Exempt from CA tax Imputed Income for Domestic Prtnr Retro Pay – Previous FY Full time sick leave usage Overload Lecture

5,814.80 353.00 0.00 0.00 0.00 0.00

875.00 12.50 33.00

45,983.15 2,471.00 352.07 1,957.30 0.00 2,369.40

Fed WithholdingFed MED/EE Fed OASDI/EE CA Withholding

711.30 84.00 0.00 212.76

6,151.59 750.49 0.00 1,840.81

Total: 5,814.80 920.50 50,309.85 Total: 1,008.06 8,742.89 BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS Description Current YTD Description Current YTD FYTD Description Current YTD Pacificare 403B STRS

374.63 100.00 465.18

1,374.72 800.00 4,024.79

Life Insurance 17.42 69.68 Summer Pay 726.85 1,453.70LRCFT Dues 111.46 693.06

Pacificare Delta STRS

623.03 104.73 479.72

4,158.58 875.44 4,150.56

Total: 939.81 6,199.51 Total: 855.73 762.74 1,453.70 *Taxable TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY Current 5,814.80 5,227.99 1,008.06 1,795.54 3,011.20 YTD: 50,309.85 46,933.41 8,742.89 8,415.42 33,151.54

VAC HOURS YTD SICK HOURS YTD RETIREMENT FYTD NET PAY DISTRIBUTION Start Balance: + Earned: - Taken: + Adjustment:

Start Balance: 822.0 + Earned: 16.0 - Taken: 12.5 + Adjustment:

PERS 0.00 STRS 930.36

Advice # 123456 3,011.20

Total: 3,011.20 End Balance: End Balance: 825.5 Message:

DIRECT DEPOSIT DISTRIBUTION Account Type Deposit Amount Checking 3,011.20

Total: 3,011.20

$3,011.20

Pay Group: F10-175/180 Employees Business Unit: LRCCD Pay Begin Date: 09/01/2006 Advice #: 123456 Pay End Date: 09/30/2006 Advice Date: 9/30/06