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HomeMy WebLinkAboutRedacted - Waterline 91436 Week 8 ended 11.10.18( 1) NAME, ADDRESS AND SOCIAL SECURl1Y NUMBER OF EMPLOYEE Anthony E Lopez Ramirez 2912 lopez Dr Arroyo Grande, CA 93420 Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 James Yanez 538 County Lane San Luis Obispo, CA 93401 xxxxxxxxx Jonathan Yanez 538 Country Lane San Luis Obispo, CA 93401 xxxxxxxxx Juan Manuel Barrios 1021 Gaylene Dr Santa Maria, CA 93458 Manuel Robledo 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 diR cantom� o.partment of Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D·KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPECIAL1Y LICENSE # PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE # PROJECT OR CONTRACT # 8 11/10/2018 WORKERS' COMPENSATION POLICY # 7J45679A18 PROJECT & LOCATION (4) DAY ( 5) (6) (7) ( 8) ( 3) Sun Mon Tue I Wed Thu Fri Sat GROSS AMOUNT DATE HOURLY EARNED PAGE PO Box 1919 San Luis Obisnn CA 93406 Waterline Replace Spec 91436 San Luis ObisDD ( 9 ) NET WAGES l\1thholding WORK 11/4 11/5 11/6 11/7 I 11/8 11/9 11/10 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR ExemoUons CLASSIFICATION HOURS WORKED EACH DAY Apprentice 0 Laborer 0 Equip. Opers. 0 Carpenters 0 Laborer Defer to 0 Employee 1 Laborer 0 Laborer 0 Laborer 0 Equip. Opers. s 0 8 D 0 0 1.5 s 0 8 D 0 0 1.5 s 0 0 D 0 s 0 0 D 0 0 1.5 s D 0 9.5 0 s 0 0 D 0 s 0 8 D 0 0 1.5 s 0 8 D 0 0 2 s 0 8 D 0 0 1.5 s D 0 s D 0 s D 0 S = Straight time 0 = Overtime D = Doubletime 6.5 0 8 6 0 0 6 14 8 8 6 8 2 8 2 HOURS OF PAY PROJECT PROJECTS WEEK FWH MCA RE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION 8 8 6 0 36.5 $18.62 $ 128.00 $ 14.60 $ 62.44 $ 50.44 $ . $ . $ . $ . $ 861.18 $ 861.18 TRAINING FUNDADM!N DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 605.70 2.5 2.5 0 0 6.5 $ 27.93 $ . $ . $ . $ $ $ . $ 255.48 1809 FWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION 8 7 0 0 31 $75.23 $ 515.00 $ 51.86 $ 221.77 $ 312.01 $ $ . $ . $ . $ 3,359.87 $ 3,576.94 TRAINING FUNDAOM!N DUES TRY/SUBS 3 0 0 0 10.5 $97.88 $ $ . $ $ FWH MCA RE FICA ST TAX 0 0 3.5 0 3.5 $62.02 $ 515.00 $ 51.86 $ 221.77 $ 312.01 $ 217.07 $ 3,576.94 TRAINING FUNDADM!N DUES TRV/SUBS $ . $ . $ -$ . FWH MCARE FICA ST TAX 0 0 8 0 8 $58.38 $ 433.00 $ 47.11 $ 201.42 $ 270.78 $ 3,248.60 $ 3,248.60 TRAINING FUNDADM!N DUES TRV/SUBS 2.5 2.5 0 0 12.5 $ 72.85 $ . $ $ . $ - FWH MCARE FICA ST TAX $ 338.00 $ 38.43 $ 164.30 $ 220.70 10.5 10.5 9 0 53.5 $3,100.00 $ 3,100.00 $ 3,100.00 TRAINING FUNDADMIN DUES TRV/SUBS $ . $ $ . $ - FWH MCARE FICA ST TAX 0 0 0 0 8 $43.50 $ 310.00 $ 33 .74 $ 144.29 $ 187.89 $ 348.00 $ 2,327.25 TRAINING FUNDADMIN DUES TRV/SUBS $ . $ -$ $ FWH MCA RE FICA ST TAX 8 8 8 0 40 $55.73 $ 511.00 $ 47.11 $ 201.45 $ 263.36 $ 3,249.10 $ 3,249.10 TRAINING FUNDADMIN DUES TRV/SUBS 2.5 2.5 1.5 0 14 $72.85 $ $ $ -$ FWH MCARE FICA ST TAX 8 8 8 0 40 $62.02 $ 218.00 $ 36.00 $ 153.93 $ 116.11 $ 3,136.40 $ 3,136.40 TRAINING FUNOADM!N DUES TRY/SUBS 2 2 0 0 8 $ 81.95 $ . $ $ $ . FWH MCA RE FICA ST TAX 8 8 7 0 39 $ 75.23 $ 669.00 $ 51.77 $ 221.35 $ 310.99 $ 3,570.19 $ 3,570.19 TRAINING FUNDADMIN DUES TRV/SUBS 1 2 0 0 6.5 $ 97.88 $ . $ . $ . $ . FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADM!N DUES TRV/SUBS * OTHER • Any other deductions, contribu tions and/or payments whether or not included or required by prevailing wage determinations must be separately listed. Use extra sheet if necessary. SAVINGS OTHER TOTALDED CHKNUM $ 2,251.30 $ $ 225.00 $ 1 325.64 002912 SDI YAC/HOL HEALTMIWELf PENSION $ $ . $ . $ . SAVINGS OTHER TOTALDEO CHKNUM $ 2,251.30 $ . $ 225.00 $ 1 325.64 002912 SDI VAC/HOL HEAlTH/WELF PENSION $ . $ . $ . $ . SAVINGS OTHER TOTALDED CHKNUM $ 2,001.43 $ $ 294.86 $ 1 247.17 DD2916 SDI VAC/HOL HEAL TH/WELF PENSION $ . $ $ -$ . SAVINGS OTHER T<JrALDED CHKNUM $1,788.57 $ $ 550.00 $ 1 311.43 002918 SDI VAC/HOL HEAL TH/WELF PENSION $ . $ $ . $ SAVINGS OTHER TarALDED CHKNUM $1,561.33 $ $ 90.00 $ 765.92 1811 SDI VAC/HOL HEAL THIWELF PENSION $ -$ -$ -$ - SAVINGS OTHER T<JrALDED CHKNUM $1,956.18 $ $ 270.00 $ 1 292.92 DD2919 SDI VAC/HOL HEAL TH/WELF PENSION $ $ $ -$ SAVINGS OTHER TarALDED CHK NUM $1,718.66 $ $ 893.70 $ 1417.74 1813 SDI VAC/HOL HEAL TH/WELF PENSION $ $ . $ $ SAVINGS OTHER 'TOTAL DED CHKNUM $ 2,089.58 $ $ 227.50 $ 1480 .61 1814 SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VAC/HOL HEAL n,,wELF PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VAC/HOL HEAL 'n<IWELF PENSION SAVINGS OTHER TOTALDED CHKNUM CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com EEHFgg$g$E$FTggFHFEFgigEgiiFiig$gflEEEFF gEE$Ef,$EIFgEEFEFEE rrr$H +Ei ?+e *+ liliHllafr-Ei ifle***E$ t'*HF A-lJ ult{ 13Itlz o f)o =!F zom I .lIll-i.rt l-aoD{ ozcz0mF !mzD -{ o !mv cF m3 sge 5 = E= : I E 6-RMpA {P dr-lQii6 n a s<^T€ =< gl-rf m; g5f1;Ee=8AErfrEqqld&6fildei A FffF+H!$+a+ Ho; = 5I2id: =:9 2 =F lB q +PdE =; + $4#;=: I:€ gftr I=l:el4#6Re1c fr_a,t.:i = :,t oru o = trrlib*=H5.F=e816 ;:fIF1Uq''e_1 e-d EH;-EE=ddfs=o 3Ro rD -=.-.r cr-< d =6HlX9:1=X=3 H i'4*Q'+i3 €:- f : t 'o ci 6 5 o IFeEs ;;r6$s I I==FX 8HE[; -s =q3; *1p.3 E::;h od€r. zasif; ;;a: -u)--(D95 i -=h'j -nf,F:F +H-+ Z{+6I - r H =9s: > ode =o d qom : z. .) 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