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: payroll@oakpinelogistics.com 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

Regular Hours @ $22.00/hr

$140800.00

Overtime Hours @ $33.00/hr

$1188.00

Holiday Pay @ $22.00/hr

$1408.00

Fuel Reimbursement

$45.00

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 | payroll@oakpinelogistics.com Thank you for your service and dedication.

22/01/2026, 08:45:07 AM

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

Email:

carlos.rivera@oakpinelogistics.com

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