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agency, or legal Internal Revenue residence in the case of en Service Center individual, Is located In address \Or Alabama, Arizona, Florida, George. Louisiana, Mississippi, New Mexico, North Carolina, Texas, Virginia Martin, -0( 7ssoi Arkansas, Connecticut, Delaware, Kentucky, Maine, Massach
sati two paint 8 Sunittele raymues In Fat Of O./W.(4 of tront 9 Payer rondo dltat so/OS cl 0.050 e
*************** For: Batch No. 2006/4/00859 1 TOTAL EMPLOYEES For: Company 66/LMB 31.20 NYDD (Box 14) 1 FORMS 60,000.00 Stato Wages (Box 16) 3,063.96 State Income Tax (Box 17) EMU EFTA00233110 . vuul OW 1410 I .-- I-I 1 OMB No. 1545.00031d10 Ut/t/l. b a r Identification number IEIN) 1 Wages this, other oompl
ependent care Innards a Employee's lint name and initial last name Suff. 11 Nonqualltled pans 12a Sae Instructions for box 12 ?, I 13 g1121. W.,'"' liter n n n p-tai I 14 Other 12c ? I 12d 1 Employee's address end ZIP coda leSue Employers state ID number I. 10 Slate wages, lips,
*************** For: Batch No. 2006/4/00859 1 TOTAL EMPLOYEES For: Company 66/LMB 31.20 NYDD (Box 14) 1 FORMS 60,000.00 State Wagea (Box 16) 3,063.96 State Income Tax (Box 17) E1002 EFTA00176007 I .-- I—I I OMB NO. 1645-0008 Leib UVUL . , UUL/, 1 ' 00/ litiD .11 Employee Identification number (EN) " 13-36434
PIENTS twang Slat. loading a ma * iw4 end ZIP c'edl RECIPIENT'S Idertlicelon number 13-165e110 Serb 0M014.194.0116 S Well. Oetahel S ?lenges W.? 767 Fifty. Alrenee :vow York, ely 10153 Ramat melba @pad 2 Roy, 2003 Fain 1099•MISC 1 Miscellaneous I Income I $ $ 3 Othir (memo a Fs .S
ctIon Aet Notice. 444 back el Copy D. ************** ******* *** ****** 1 TOTAL EMPLOYEES 31.20 NYDO (Box 14) 60,000.00 State Wages (Box 16) 3,063.96 State Income Tax (Box 17) SDNY_GM_02771879 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00258687 EFTA01338191 I . VW/ 00/ Lelia L • -- .--,
Entities connected to both George W. Bush and 3,063.96 State Income Tax (Box

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