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MPANY, INC. 6100 RED HOOK QUARTER 0-3 ST. THOMAS U.8.VIRGIN 00802 d Rroolnyaa word ob4rit, motor 58 0 -17- 312 9 * ••••••••••••••• • DAPHNE I WALLACE IVII I••••••••••••••••••••• •••••••••• • mio• •••••••••• •• •• e n • ••••• OM. .M••• •••••••• For OffielalUan Only OHIO No.1602•0000 P.O. BO
6418.00 4 Soda; sacrudly trderilted 82.15 • Empioyol'a neme, aderen, and ZIP code FINANCIAL TRUST COMPANY, INC. 610O RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 strrlIAN GORDON 3 Settel ;welk os. 4 6m .18 5 Mitdloara waggtg tt5.18 41 Modicoto taxwIthheW 964.70 7 Soda' securlly tips 41 9 Adva
L : Afeisefra ti4.44 Ft: : .14 i ts& :• . 4.'11•0 15.. re i n .:! 4..ft: ‘,.• • is• c‘i AC "C 1. 4‘s4 4.46. Lk. St' es,i 1 441:: Teta WALLACE a emcee ameacavehe 37894.80 • aide MOS/ wave 42038./4 • Wows nom ord via 42038.74 7 Will mealy dpa 4fini's)"1 • •••••• •I rob. 't.Ivisiont
anted numb*, bEinpoyerklmft4OmmIrIm 66-0567418 es Employe& arm. oddniat and VP oath FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER S-3 ST. THOMAS U.S.VIRGIN , 00802 I E add•coa and ZIP coda • Coned numbs( U.S.VngnIMands r 0rm " Wage and Tax Statement Corn, D -1 rr ETr!VOr 2004 Darcronant nr the t
aillon aootim Downy wpm 42038./4•• 42038.74 7'1; iii;;;;;;; ;;;;;;;;;;;;;— 6 tTiT6;40.Iii.61rtafit;f and Watt Mitten. ....“-a— DAPHNE L r -- WALLACE : alf<t•41191.1 b• ‘ ?An Le Itle i 4.1 Xit; 'N.'S .L.?: %.. •3.1....•:::?•tt :•51..4 Ai i: • ^ • 7:: .'• i ti•2 .i.r , • .; ,..• • ... • .1. • .
ex withheld 137.0.76 it Makers to velNwila 320.58 7.—ErnillOysses esa. and ZIP cod. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER 8-3 ST. THOMAS U.S.VIRGIN , 00802 d Employee's social smelly number 580-29-3823 e Ernployee's first name end Inklel Limon MCDONALD MORRELL LORF.,TTA rorrn Meth Isbands
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