Florida Wages And Payrolls Forms & Documents Page 9
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13Wage and Hour Record:
700-010-69
Form WH-347
Contractor's Name
Address
Construction
Payroll Number:
For Week Ending
Contract #
Project and Location
01/11
FIN #
(1)
Deductions
Employee Name
(4)
Day and Date
(8)
and 4 Digit Identifier
(9 digit SS and full address
(2)
(3)
(7)
(9)
Net
required on contracts Let prior to
(5)
Exemptions / Race
Work
(6)
Project Gross /
Total from attached
Wages Paid for
1/19/09)
& Gender
Classification
Total Hours
Pay Rate
Weekly Gross
FICA
Withholding tax
deduction sheet
Total Deductions
week
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00
$
-
S
0.00
0.00
0.00
O
0.00
$0.00 $
-
S
0.00
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