The 3-On-A-Page Payroll Dual Purpose Check you've selected offers the option of customizing certain payroll deduction caption areas within the voucher. Please follow the directions to the right to select these deduction captions.    If you don't see the caption you'd like listed here, please call us at 1-800-328-7889.

Customer #35469602  PAUL DAVID RHODES    Voucher Deduction Caption Selection The graphic below indicates the open payroll deduction caption areas available within the voucher of your check. To select captions for these areas, click on the designated Area Fields below and choose your caption. If you wish to keep the caption areas blank, click Continue. Please note: Some captions will be abbreviated to fit within the area provided.

	Area 1: ADVANCEANNUITYASSESSMENTSBLUE CROSSBLUE CROSS - BLUE SHIELDBLUE SHIELDBOND PAYMENTBONUSCASH ADVANCECHRISTMAS SAVINGSCITY EARNING TAXCITY INCOME TAXCITY TAXCLOTHINGCOMMISSIONCOMMUNITY CHESTCOUNTY TAXCREDIT UNIONDEDUCTIONSDRAWING ACCOUNTDUESE.S.C.EARNING TAXEMPLOYEE MEALSF.I.C.A.FEDERAL INCOME TAXFOOD COSTGOVERNMENT BONDSGROUP INSURANCEGROUP LIFE INSURANCEGROUP MED. PLANGROUP PENSIONH. & W.HOLIDAYHOSPITALHOSPITAL INSURANCEHOURSILLINOIS MUNICIPAL RETIREMENT PLANINCOME TAXINSURANCEIRALAUNDRYLIFE INSURANCELOANLOAN PAYMENTLOCAL DUESLOCAL INCOME TAXMEALSMEDICAREMERCHANDISE PAYMENTMISC. PAYMENTSMISCELLANEOUSNEW YORK CITY DISABILITY INSURANCENEW YORK CITY WITHHOLDING REPORTOLD FUND LIABILITY TAXON ACCOUNTOTHER PAYMENTSPENSIONPENSION CONTIBUTIONPENSION FUNDPURCHASESRED CROSSRETIREMENT FUNDS.A.I.F.S.U. INSURANCESALARY ADVANCESAVINGS BONDSSAVINGS CLUBSOCIAL SECURITY TAXSTATE DISABILITY INSURANCESTATE INCOME TAXSTATE TAXSTATE UNEMPLOYMENTSTORESUB.ATIP REPORT SUMMARYTIPSU.S. BONDSUNIFORMSUNION DUESUNITED WAYVACATIONVACATION FUNDWAGE TAXWITHHOLDING U.S. INC. TAX
	Area 2: ADVANCEANNUITYASSESSMENTSBLUE CROSSBLUE CROSS - BLUE SHIELDBLUE SHIELDBOND PAYMENTBONUSCASH ADVANCECHRISTMAS SAVINGSCITY EARNING TAXCITY INCOME TAXCITY TAXCLOTHINGCOMMISSIONCOMMUNITY CHESTCOUNTY TAXCREDIT UNIONDEDUCTIONSDRAWING ACCOUNTDUESE.S.C.EARNING TAXEMPLOYEE MEALSF.I.C.A.FEDERAL INCOME TAXFOOD COSTGOVERNMENT BONDSGROUP INSURANCEGROUP LIFE INSURANCEGROUP MED. PLANGROUP PENSIONH. & W.HOLIDAYHOSPITALHOSPITAL INSURANCEHOURSILLINOIS MUNICIPAL RETIREMENT PLANINCOME TAXINSURANCEIRALAUNDRYLIFE INSURANCELOANLOAN PAYMENTLOCAL DUESLOCAL INCOME TAXMEALSMEDICAREMERCHANDISE PAYMENTMISC. PAYMENTSMISCELLANEOUSNEW YORK CITY DISABILITY INSURANCENEW YORK CITY WITHHOLDING REPORTOLD FUND LIABILITY TAXON ACCOUNTOTHER PAYMENTSPENSIONPENSION CONTIBUTIONPENSION FUNDPURCHASESRED CROSSRETIREMENT FUNDS.A.I.F.S.U. INSURANCESALARY ADVANCESAVINGS BONDSSAVINGS CLUBSOCIAL SECURITY TAXSTATE DISABILITY INSURANCESTATE INCOME TAXSTATE TAXSTATE UNEMPLOYMENTSTORESUB.ATIP REPORT SUMMARYTIPSU.S. BONDSUNIFORMSUNION DUESUNITED WAYVACATIONVACATION FUNDWAGE TAXWITHHOLDING U.S. INC. TAX
	Area 3: ADVANCEANNUITYASSESSMENTSBLUE CROSSBLUE CROSS - BLUE SHIELDBLUE SHIELDBOND PAYMENTBONUSCASH ADVANCECHRISTMAS SAVINGSCITY EARNING TAXCITY INCOME TAXCITY TAXCLOTHINGCOMMISSIONCOMMUNITY CHESTCOUNTY TAXCREDIT UNIONDEDUCTIONSDRAWING ACCOUNTDUESE.S.C.EARNING TAXEMPLOYEE MEALSF.I.C.A.FEDERAL INCOME TAXFOOD COSTGOVERNMENT BONDSGROUP INSURANCEGROUP LIFE INSURANCEGROUP MED. PLANGROUP PENSIONH. & W.HOLIDAYHOSPITALHOSPITAL INSURANCEHOURSILLINOIS MUNICIPAL RETIREMENT PLANINCOME TAXINSURANCEIRALAUNDRYLIFE INSURANCELOANLOAN PAYMENTLOCAL DUESLOCAL INCOME TAXMEALSMEDICAREMERCHANDISE PAYMENTMISC. PAYMENTSMISCELLANEOUSNEW YORK CITY DISABILITY INSURANCENEW YORK CITY WITHHOLDING REPORTOLD FUND LIABILITY TAXON ACCOUNTOTHER PAYMENTSPENSIONPENSION CONTIBUTIONPENSION FUNDPURCHASESRED CROSSRETIREMENT FUNDS.A.I.F.S.U. INSURANCESALARY ADVANCESAVINGS BONDSSAVINGS CLUBSOCIAL SECURITY TAXSTATE DISABILITY INSURANCESTATE INCOME TAXSTATE TAXSTATE UNEMPLOYMENTSTORESUB.ATIP REPORT SUMMARYTIPSU.S. BONDSUNIFORMSUNION DUESUNITED WAYVACATIONVACATION FUNDWAGE TAXWITHHOLDING U.S. INC. TAX

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