10/13/1997 10:27 American Wholesale Associates PAGE 1
SALESB Tax Withholdings & Liabilities
State Total
Total Unemp. Withheld
Emp Employee Name Check Check Gross Employee Employer Federal 941 State Insur. and
ID Last First MI Soc Sec No Number Date Pay FICA FICA W/Hold Taxes W/Hold FUTA (SUI) Liability
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
003 Acosta, Jr Johnathan M 999-21-9576 7922 10/15/1997 665.28 45.90 45.90 79.42 171.22 0.00 2.85 7.47 181.54
Subtotal for FL ---------------------------------------------------------------------------------------------------------------------------------------------------------
665.28 45.90 45.90 79.42 171.22 0.00 2.85 7.47 181.54
05 Barnes William B 999-65-4789 7924 10/15/1997 510.00 34.46 34.46 34.44 103.36 7.52 3.60 12.16 126.64
001 Timmon Cheryl A 999-34-7663 7921 10/15/1997 1250.00 94.10 94.10 250.00 438.20 100.00 0.00 0.00 538.20
Subtotal for GA ---------------------------------------------------------------------------------------------------------------------------------------------------------
1760.00 128.56 128.56 284.44 541.56 107.52 3.60 12.16 664.84
004 Smith Nathan 999-05-6688 7923 10/15/1997 1928.89 146.03 146.03 172.27 464.33 76.84 0.00 61.09 602.26
Subtotal for NY ---------------------------------------------------------------------------------------------------------------------------------------------------------
1928.89 146.03 146.03 172.27 464.33 76.84 0.00 61.09 602.26
Grand Totals =========================================================================================================================================================
4354.17 320.49 320.49 536.13 1177.11 184.36 6.45 80.72 1448.64