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TE' ~i~18~9~ STATOM COtJSTRUCTIQN, INC. 16:1c F'F~E S <br />CERTIFIED F'Al'R~LL REPOkT <br />JGB N0. 631~-9 i <br />NAME MARIO~J LOiSALEMiDEMO <br />RAY RERIOD DATE l~7/~~5/97 <br /> <br />EMF~LO`iEE <br /># EXEhi~~T/5S # ----------------- <br />SUN MOtJ 7UE --- HOURS ------------------- OTH J~A PAY FICA <br />WcD TH1J FRI 5AT LOCAL TOT ~ED <br /> JOA GR5 FED W/H UNION BEIJEFITS <br /> Wt1RK CLA5S ~9 30 @1 ~~ ~3 Q4 05 TOTAL RATE TOT GRS STATE OTH DED NET CHK <br />?HORPE, JOSEGH P. EX: M-0t C M 0 . ~@ . @@ . ~3a . ~E~ . @0 . 01~ . a0 .1~~ . ~0 . ~0 is5. @~ 00 649 <br />50 <br />c5699 TIDAG~L LANE <br />' .`~i-@6-7588 S .1~0 .@0 . Q@ .~0 c.1~1~1 .~i@ . QtQI c. l~0 ~,s. Ill~ 46. 00 12c. 00 . <br />94 <br />cA . <br />N0 <br />UENETA, Uk <br />~7487 LAADR 1/JflN 97' <br />-- :~~~ <br />~ ~ r <br />7~~ .~~`~ 1874. 4g <br />95 <br />00 . <br />c'4~3 <br />20 . <br />l~ 4 <br />99 <br />~U~ - - <br />, . . . <br /> CHECK M ; 3s796 <br />THORPE, JOStRH G. EX: ~-a~ C M 0 . 0l~ . i~~+ i. Q~~1 ~. 5h .~l~ . a0 . 0(~ 3. `~8 3b. 08 .~0 1s5. ~ 00 649 <br />`~ <br />c5699 TIflt~ALL LAtdE 5E+i-0E-758$ S . 0~' . 00 15. 0l~ 6. l~0 b. al~ . 00 . l~ c9. kj0 ci. ~9 9c7. E~I~ Icc.00 . <br />94 <br />c8 . . <br />00 <br />UENETA, DR 97487 aF'ERATOR 4/Ji~l yl' ~~~~ ,~L'. ~ ~y 1874. 4j 95 <br />01~ . <br />2183 <br />20 . <br />1~4 <br />99 <br />DOM - . . . <br /> CHECK ~: 3379E <br />THORGE, JO~RH R. <br />`' EX: M-~ C M 0 .@Qi . 00 2. ib0 .~a . 00 .(~9 . 00 2. 0~d s5. 69 . 00 135. 02 09 649 <br />5iD <br />2 <br />~699 T I DRRLL LAt~ <br />" i65-@b-7 ~88 S. a0 . 00 1. Q-~ . Q~Q~ . QIIZI . Q~@ . 0N 1. H@ 25. 75 97.13 122. Q+0 . <br />94. 28 . <br />Q~ <br />A, OR 97487 DRIVER 3/1AN 97' `~-yl <br />~~ ~ <br />l ~5~ 1874.49 95.00 c03 <br />20 . <br />1224 <br />99 <br />l , <br />• . . <br />,~ CHECK #: s'3796 <br />STflTO~d, JEFFERY EX: S-81 C R4 0. Q~ ~, 0fa , Q-0 , 00 ,1~ , 00 .@0 ~. ~@ s'2. 69 . 00 73. 6@ 041 530 <br />40 <br />3@~ (X]UtJTRY CIUB RUAD 543-23-8729 5. 0~ 7. Q@ 6. ~A . Q0 . 00 . Q-~ .~QI 13. ~- ~4.14 s79. 2a 182.12 . <br />92 <br />s'2 . <br />00 <br />EU~ENE, OR 97401 <br />DOPt - LABOR 1/JAN 97' 1854.0b <br />/~~Z~~• s~/~ ~- 82.36 . <br />l~.0~+ . <br />;23.E6 <br /> CHECK N: 33795 <br />STATON, .1EFFERY EX: S-@1 C M 0 , 0a . ~0 . @0 . ~~~ . ~~ . @~ . 0k~ . Ib0 . ~~ . 0~ 73. 6Q+ Q~ 530 <br />40 <br />.iQ~S COUNTRY CLUH RUAD i43-23-8729 5 . RNd 1. 0Q~ c. Q~i~ . k~l~ . 01~ . 0Q~ .~ ,s. 00 ~7. 9 i 8,s. 91 18~. ic^ . <br />92 <br />s'c . <br />Nl~ <br />EU(iEtJE, OR 974@1 <br />DDM - pF'ERATDA 5/JAN 97' ~J~ 1054.aE <br />`~°' ~~~ c~t~~ ~ 8c.36 , <br />100.00 . <br />i2s.66 <br /> CHECK ~: ,s3795 <br />Bt1RNETT, kANDY L EX: Pi-0fa C M G .~i~ 1. 25 .~l~ . 00 , 00 .~10 . 00 1. c5 3~, i7 . 0i~ ;n <br />66 I~~ i~4 <br />31 <br />115 KIN6SEERkY RVENUt 544-76-Qki~ 5 .~~ 8, 0~ .~~ , N~ .~@ ,~~ , 0Q g, 00 25. 83 ~51. 35 , <br />1~., <br />69 , <br />P3 <br />62 . <br />. <br />0~ <br />EL!(iENE, OR 97404 DRIVER 3/,If~~ 97' ,i~~~, ~~ <br />p(~ 776.35 . <br />59 <br />79 . <br />58 <br />55 . <br />4`~ <br />04 <br />DOM - ~ . . . <br /> CHECK #: s378@ <br />LANE, KtPWE7H R. E~: S-01b C M 0 .@0 . 00 2.:;a . 0@ .@0 . Q~0 . 00 2. 50 32.13 . 00 54. 87 00 277 <br />68 <br />4.i~ CAROL STREET i42-8$-7168 S . 01~ . Id@ 4. lA0 . 00 . Q~A . 00 . Q~ 4. @@ cs. i8 174. E5 127. 8c^ . <br />c6. 76 . <br />. Q~+ <br />Lllk~t_L, OR 974:;2 <br />. LA9tlR 1/JAPI 97' ,~~ 743.54 <br />~ <br />2~ <br />~ E0.48 7.75 4E~5.86 <br />pr ~ <br />J7ZlG <br />i~ <br />~ a <br /> CHEC}~ #: 33784 <br />