Driver Salary Receipt

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Company Name: Oak & Pine Logistics LLC Delivering excellence, one mile at a time Company Address: 780 Harbor Road, Suite 4, Seattle, WA 98101 Contact Number: (206) 555-1100 Email: [email protected] www.oakpinelogistics.com EIN: 91-2345678

Receipt Number: PS-2025-11-0246 Date of Issue: November 30, 2025 Pay Date: November 28, 2025 Payment Method: Direct Deposit (ACH) Transaction ID: ACH-OPL-20251128-784 Payment Status: COMPLETED

80
Regular Hours @ $22.00/hr
$140800.00
6
Overtime Hours @ $33.00/hr
$1188.00
8
Holiday Pay @ $22.00/hr
$1408.00
1
Fuel Reimbursement
$45.00
1
Safety Bonus (one-time)
$75.00
Subtotal$143516.00
Discount(5%)$7175.80
Tax(10%)$13634.02
Total
$149974.22

Issued By: Linda K. Freeman — Payroll Manager Signature: ___________________________ Contact Number: (206) 555-1100 | [email protected] Thank you for your service and dedication.

30/06/2026, 10:44:35 PM
Card Number**** **** **** 4922
Card TypeDebit
Card EntryChip
Date/Time11/20/2019 11:09 AM
Reference #62845289260246240685C
StatusAPPROVED
Driver Name:
Carlos M. Rivera
Salary Month:
November 2025
Driver ID:
DR-00457
Payment Method:
Direct Deposit (ACH)
Job Title:
Delivery Driver — Class B CDL
Transaction ID:
ACH-OPL-20251128-784
Department:
Operations — West Region
Payment Status:
COMPLETED
Address:
1427 Maple Ave, Apt 7, Tacoma, WA 98402
Vehicle Number:
N/A
Contact Number:
(253) 555-3399

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