IBM 1130 User Manual page 74

Section
Subsections Page
10 50
1
30
10
YEAR
NAME CLOCK NO.
TAX CLASSIF"It;ATION
I
REMARKS
I
ADDRESS
AGE DEPT.
(1)
DEPT. (21
S. S. NO.
TEL. NO.
CONSTANT DEDUCTIONS
QUART'R EARNED FOAa SI
WHTAX
CITY OR
REASON CODE REASON CODE
OTHER TAX
CITIZENSHIP
FIRST
,,"ORK AVAILABLE
WA CATASTROPH E
C YEAR
SICKNESS
EMPLDYMENT RECDRD ~
DATE
RATE PER'
SECOND CONTINUED
CA DISCIPLINE 0
1
I Z
UNAVAILABIliTY
IN OUT REASDN
oC THIRD
LABOR DISPUTE LD SELF EMPL'D SE
I
i
6
FOURTH
...
I I
!C
TOTAL
II:
EARNIN GS DEDUCTIONS
AMOUNT
CHECK
PERIOD
HOURS
RATE
YoITHHOLDING
ENDING
REG. RATE OVERTIME OTHERS TOTAL
F. O. A. B.
TAX
A
B C
0 OF CHECK NUMBER
1
1 -
2
1 -
3
1 -
4
I -
S
1 -
6
--
7
1 -
8
1 -
9
1 -
10
I -
n
-
12
-
13
-
OTR.
14
- -
15
1 -
16
1 -
17
1 -
18
1 -
19
1 -
20
1 -
21
1---:-
22
1 -
23
1 -
24
1 -
25
1 -
26
1 -
OTR.
W-2