HomeMy WebLinkAboutRedacted - Waterline 91436 Week 24 ended 03.02.19( 1 )
NAME, ADDRESS AND
SOCIAL SECURm NUMBER
OF EMPL OYEE
George Llamas
800 E. Cook
Santa Maria, CA 93454
Iran A Nieves
1628 Village Ct Santa
Maria, CA 93454
Jacob D Rexford 2761
Chaparral Lane Paso
Robles, CA 93446
James Douglas
612 Laura Way
Paso Robles, CA 93446
James Yanez
538 County Lane
San Luis Obispo, CA 93401
Jose Sanchez Garcia
558 Ferro Lane
Paso Robles, CA 93446
Juan Manuel Barrios 1021
Gaylene Dr
Santa Maria, CA 93458
Manuel Roblroo
9694 Birmingham Ave
Riverside, CA 92509
Ronnie Ramsey
PO Box 141
Cayucos, CA 93430-0410
FORM A·l-131 (New 2·80)
( 2)
Number of
Withholding
•-tlons
0
0
0
0
0
0
0
0
diR C.llfomla Department of Industrial RelatiOns PUBLIC WORKS PAYROLL REPORTING FORM PAGE
NAME OF CONTRACTOR D·KAL Engineering CONTRACTOR'S LICENSE It 653307 ADDRESS OR SUBCONTRACTOR SPEOAL Tf LICENSE It PO Box 1919 San Luis Ob isoo CA 93406 PAYROLL NUMBER FOR WEEK ENDING SEL F-INSURED CERTIRCATE # PROJECT OR CONTRACT It Waterline Replace Spec 91436 24 3/2/2019 WORKERS' COMPENSATION POLICY It 7J45679A18 PROJECT & LOCATION San Luis Obispo 4) DAY ( 5) ( 6)( 7) ( 8) ( 9) ( 3) Sun Mon Tue Wro Thu Fri Sat GROSS AMOUNT NET DATE HOURLY EARNED WAGES WORK 2/24 2/25 2/26 2/27 2/28 3/1 3/2 TOTAL RATE THIS ALL DEDUCTION S, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS WEEK
FWH MCARE FICA ST TAX SDI VAC/HOL HEALTHIWELF PENSION s 0 8 8 8 8 0 0 32 S 59.91 $ 409.00 $ 43.09 $ 184.26 $ 240.97 $ $ $ $ Teamsters D $ 2,972.02 $ 2,972.02 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 1,864.70 0 0 3 4 0.5 0 6.5 0 14 $ 75.35 $ $ $ $ . $ $ 230.00 $ l 107.32 DD3087
FWH MCA RE RCA ST TAX SDI VAC/HOL HEALTH/WELF PENSION Apprentice s 0 8 8 8 0 8 0 32 $20.48 $ 92.00 $ 13.55 $ 57.93 $ 39.04 $ $ $ $ Laborer D $ 808.96 $ 808.96 TRAINING FUNDADM!N DUES TRV/SUBS SAVJNGS OTHER TOTAL DED CHKNUM $ 606.44 0 0 0 1.5 0 0 3.5 0 5 $ 30.72 $ $ $ $ $ $ $ 202.52 DD3088
FWH MCA RE RCA ST TAX SDI VAC/HOL HEALTH/WELf PENSION s 0 8 8 8 8 0 0 32 s 58.73 $ 398.00 � 42.39 � 181.27 $ 177.69 $ $ $ $ Laborer D $ 2,923.59 $ 2,923.59 TRAINING FUNDADMIN DUES TRV/SUBS SAVJNGS OTHER TOTAL OED CHKNUM $1,869.38 0 0 2.5 3 0.5 0 7.5 0 13.5 $ 77.35 $ $ $ $ $ $ 254.86 $ l 054.21 DD3089
FWH MCARE RCA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s 0 8 8 8 0 8 0 32 $ 58.38 $ 292.00 $ 37.19 $ 158.99 $ 139.64 $ $ $ . $ Laborer D $ 2,564.31 $ 2,564.31 TRAINING FUNDADM!N DUES TRV/SUBS SAVJNGS OTHER TOTAL OED CHKNUM $ 1,731.49 0 0 2 3 0 0 4 0 9 $ 77.35 $ . ( $ $ $ $ 205.00 $ 832.82 DD3090
FWH MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s salary $ 393.00 $ 41.12 s 175.86 $ 241.54 $ $ . $ $ Foreperson D 0 11.5 11 8.5 0 13 0 44 $ 73.75 $ 2,950.00 $ 2,950.00 TRAINING FUNOAOM!N DUES TRV/SUBS SAVJNGS OTHER TOTAL OED CHKNUM $ 1,884.85 0 $ . $ � $ . $ S 213.63 $ l 065.15 003091
FWH MCARE RCA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s 0 8 8 8 0 8 0 32 $ 55.73 $ 152.00 $ 34.84 s 148.96 $ 97.41 $ $ $ $ Laborer D $ 2,402.59 $ 2,402.59 TRAINING FUNDADM!N DUES TRV/SUBS SAVINGS OT HER TOTALOEO CHKNUM $1,766.88 0 0 2 2.5 0 4 0 0 8.5 $ 72.85 $ . $ $ . $ $ . $ 202.50 $ 635.71 1926
FWH MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s 0 8 8 8 8 0 0 32 S 55.73 $ 335.00 $ 42.23 $ 180.58 $ 226.03 $ $ $ . $ Laborer D $ 2,912.54 $ 2,912.54 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHK NUM $ 1,891.20 0 0 2.5 3 0.5 0 9.5 0 15.S $ 72.85 $ $ $ $ $ $ 237.50 $ 1 021.34 DD3092
FWH MCARE RCA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 0 8 0 32 $62.02 $ 292.00 $ 41.03 $ 175.43 $ 150.73 $ $ $ . $ .
Laborer D $ 3,131.94 $ 3,131.94 TRAINING FUNOADM!N DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $1,940.30 0 0 3 2.5 0.5 0 8 0 14 $ 81.95 $ <!; <!; <!; $ $ 532.45 $ 1191.64 1927
FWH MCA RE RCA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 0 8 0 32 $ 75.23 $ 583.00 $ 47.15 $ 201.61 t 275.20 $ $ $ $ 0 Equip. Opers. D $ 3,251.67 $ 3,251.67 TRAINING FUNDADM!N DUES TRV/SUBS SAVJNGS OTHER TOTAL OED CHKNUM $1,942.21 0 0 2
s
D
0
s
D
0
s
D
0
S = Straight time
0 = Overtime
D = Doubletime
2.5 0 4 0 0 8.5 $99.33 $ $ $ $ .
FWH MCA RE RCA ST TAX
TRAINING FUNDADMIN DUES TRV/SUBS
FWH MCARE RCA ST TAX
TRAINING FUNDADMtN DUES TRV/SUBS
FWH MCARE RCA ST TAX
TRAINING FUNDADMIN DUES TRV/SUBS
• OTHER • Any other drouctions, contributions and/or payments whether or not includro or requirro by prevailing
wage determinations must be separately listro. Use extra sheet if necessary.
$ $ 202.50 $ 1309.46 1929
SDI VAC/HOL HEAL TH/WELF PENSION
SAVINGS OTHER TOTALDED CHKNUM
SDI VAC/HOL HEALTH/WELF PENSION
SAVINGS OTHER TOTAL OED CHKNUM
SDI VAC/HOL HEAL THIWELF PENSION
SAVINGS OTHER TOTAL OED CHK NUM
CERTIFICATION must be completed (see back)
Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com
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