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ANY OF NEWARK. NEW JERSEY BOSTON OLD COLONY INSURANCE COMPANY COMMERCIAL INSURANCE COMPANY OF NEWARK. N. J. PHOENIX ASSURANCE COMPANY OF NEW YORK NIAGARA FIRE INSURANCE COMPANY SEABOARD FIRE AND MARINE INSURANCE COMPANY THE FIDELITY AND CASUALTY COMPANY OF NEW YORK NATIONAL•BEN FRANKLIN INSURANCE COMPANY OF ILLINOIS THE

7098 No. 06187035 P.M. NO. 00431 LOCATION 825013000 STATEMENT OF EARNINGS RETAIN THIS STATEMENT FOR YOUR RECORDS THE DALTON SCHOOLS INC 108 EAST 89TH STREET NEW YORK NY 10024 EMPLOYEE NAME I REGOLAR RATE EPSTEIN 500;00 FEDERAL TAX FICA 71!23 29 2° FEDERAL TAX FICA 356115 146 25 THIS PAY

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EDUCTIONS IMP. NO. 006257 GROSS 500:col GAM 2500:00I STATEMENT OF EARNINGS RETAIN THIS STATEMENT FOR YOUR RECORDS THE DALTON SCHOOLS INC 108 EAST 89TH STREET NEW YCRK NY 1GOZ$ EMPLOYEE NAME I PEGOLAR RATE EPSTEIN 1 500100 FEDERAL TAX FICA j STATE TAX 71:23 29 2!I 15:97 FECERR. TAX RCA

ANY OF NEWARK. NEW JERSEY BOSTON OLD COLONY INSURANCE COMPANY COMMERCIAL INSURANCE COMPANY OF NEWARK. N. J. PHOENIX ASSURANCE COMPANY OF NEW YORK NIAGARA FIRE INSURANCE COMPANY SEABOARD FIRE AND MARINE INSURANCE COMPANY THE FIDELITY AND CASUALTY COMPANY OF NEW YORK NATIONALBEN FRANKLIN INSURANCE COMPANY OF ILLINOIS THE B

APPROVAL 949 (9/79) EFTA01700806 STATEMENT OF EARNINGS NO. 06187055 RETAIN THIS STATEMENT FOR YOUR RECORDS THE DALTON SCHOOLS INC PALNO. 108 EAST 89TH STREET 00431 NEW YORK NY 10028 LOCATION 825013000 THIS PAY • PERIOD YEAR TO DATE DEDUCTIONS EMP. NO. I EMPLOYEE NAME. 006257 EPSTEIN J G