Transcription of Contractor Payroll Records - Missouri
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Contractor Payroll Records - Missouri
Missouri DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS. Contractor Payroll Records . (See Sections to , RSMo and 8 CSR to 8 CSR ). Name of Contractor Subcontractor Address of Contractor or Subcontractor: City: State: ZIP: Phone Number: ( ) - Name of Public Body Address of Public Body: City: State: ZIP: Phone Number: ( ) - Payroll No. For Week Ending AWO Project and Location Project or Contract No. / /. 3. Day and Date 6. Gross Amt 7. Deductions 2. Occupational Day 4. 5. Federal 8. Net 1. Name and Address FICA Total Title Total Hourly Project and State Other Other Wages Paid of Employee Date and Deduc- ** Hours Rate Withhold- A B for Week Hours Worked Each Day Week Medicare ing Tax tions DT 0. OT 0 0. ST 0. DT 0. OT 0 0. ST 0. DT 0. OT 0 0. ST 0. DT 0. OT 0 0. ST 0. DT 0. OT 0 0. ST 0. DT 0. OT 0 0. ST 0. DT 0. OT 0 0.
Payroll No. For Week Ending / / AWO Project and Location Project or Contract No. 1. Name and Address of Employee : 2. Occupational Title *** 3. Day and Date 4. Total Hours 5. Hourly Rate . 6 . Gross Amt 7. Deductions 8. Net Wages Paid for Week Day Project : Week FICA and Medicare . Federal and State Withhold - ing Tax . Other A : Other
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