This document appears to be a salary form for an employee named FHC L'BRASIL'A. It shows a base salary of $25,000 plus a $200 bonus for a total salary of $4,100. Taxes were deducted at a rate of 10% of the salary and 40% of amounts over $2,050, leaving a net salary of $2,050 to be paid by bank transfer to the employee.

1. 156 $25,00 $3 900,00
Bonus 200 $200,00
SALARY $4 100,00
Basis Rate Amount
$4 100,00 10,00% $410,00
$4 100,00 40,00% 1 640,00 €
$2 050,00
Net Salary $2 050,00
Paid by bank transfer $2 050,00
Net Salary Paid $2 050,00
SALARY FORM
FIRM STAFF
Name : FHC L'BRASIL'A Name & Firstname :
Address : Address :
PC & Town :
Level :
Basis Salary
TO BE HELD WITHOUT LIMIT DURATION
TOTAL
Net Salary Taxable
Position : General Manager
BOSS TAXES
STAFF TAXES