Online Bookkeeping Service – Reports Completed by Integra Online Bookkeeping
MISTY MOUNTAINS INC
Workers Compensation Detail
Nov-09
Date Type Num Source Name Payroll Item Gross Wages OT Premium WC Wages Hours WC Rate WC Premium Exp. Mod. Adj. WC Premium
5552 - Roofing
11/03/2009 Paycheck Dan T. Miller Salary 1,596.15 1,596.15 17.55 280.12 95.0% 266.11
11/17/2009 Paycheck Dan T. Miller Salary 1,596.15   1,596.15   17.55 280.12 95.0% 266.11
Total 5552 - Roofing 3,192.30 0.00 3,192.30 0.00 560.24 532.22
5645 - Carpentry
11/03/2009 Paycheck Elizabeth N. Mason Regular Pay 1,180.00 1,180.00 80.00 10.81 127.56 95.0% 121.18
11/03/2009 Paycheck Elizabeth N. Mason Overtime Rate 0.00 0.00 0.00 10.81 0.00 95.0% 0.00
11/03/2009 Paycheck Elizabeth N. Mason Sick Hourly 0.00 0.00 10.81 0.00 95.0% 0.00
11/03/2009 Paycheck Elizabeth N. Mason Vacation Hourly 0.00 0.00 10.81 0.00 95.0% 0.00
11/17/2009 Paycheck Elizabeth N. Mason Regular Pay 1,180.00 1,180.00 80.00 10.81 127.56 95.0% 121.18
11/17/2009 Paycheck Elizabeth N. Mason Overtime Rate 66.39 22.13 44.26 3.00 10.81 4.78 95.0% 4.54
11/17/2009 Paycheck Elizabeth N. Mason Sick Hourly 0.00 0.00 10.81 0.00 95.0% 0.00
11/17/2009 Paycheck Elizabeth N. Mason Vacation Hourly 0.00   0.00   10.81 0.00 95.0% 0.00
Total 5645 - Carpentry 2,426.39 22.13 2,404.26 163.00 259.90 246.90
8810 - Clerical
11/03/2009 Paycheck Gregg O. Schneider Regular Pay 1,380.00 1,380.00 80.00 1.00 13.80 95.0% 13.11
11/03/2009 Paycheck Gregg O. Schneider Overtime Rate 0.00 0.00 0.00 1.00 0.00 95.0% 0.00
11/03/2009 Paycheck Gregg O. Schneider Sick Hourly 0.00 0.00 1.00 0.00 95.0% 0.00
11/03/2009 Paycheck Gregg O. Schneider Vacation Hourly 0.00 0.00 1.00 0.00 95.0% 0.00
11/17/2009 Paycheck Gregg O. Schneider Regular Pay 1,380.00 1,380.00 80.00 1.00 13.80 95.0% 13.11
11/17/2009 Paycheck Gregg O. Schneider Overtime Rate 77.64 25.88 51.76 3.00 1.00 0.52 95.0% 0.49
11/17/2009 Paycheck Gregg O. Schneider Sick Hourly 0.00 0.00 1.00 0.00 95.0% 0.00
11/17/2009 Paycheck Gregg O. Schneider Vacation Hourly 0.00   0.00   1.00 0.00 95.0% 0.00
Total 8810 - Clerical 2,837.64 25.88 2,811.76 163.00 28.12 26.71
TOTAL 8,456.33 48.01 8,408.32 326.00 848.26 805.83
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