Sexton Payroll Report

St. Andrews Episcopal Church o 406 Hillsboro Avenue o Edwardsville, Illinois 62025

Name __________________________________________________________________

For monthly payroll period checked:

January 1 - 31, 2004 July 1 - 31, 2004

February 1 - 29, 2004 August 1 - 31, 2004

March 1 - 31, 2004 September 1 – 30, 2004

April 1 - 30, 2004 October 1 – 31, 2004

May 1 - 31, 2004 November 1 – 30, 2004

June 1 - 30, 2004 December 1 – 31, 2004

Dates Hours worked (if applicable)

__________________________________ ___________________________

Payee Signature: Time Certified by:

(Affirming to the accuracy of this information.)

______________________________ ___________________________

Reporting: This form should be completed and given to Cindy Yelverton, Assistant Treasurer, or put in the Assistant Treasurer’s church mailbox prior to or on the last Sunday of the payroll period month.

Pay Checks: Payment will normally be made via direct deposit and occur no later than the tenth of the following month.

Office Use Only:

Date Paid:_____________________ Transaction No.:___________________________

Paid By:_______________________