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MPANY, INC. 6100 RED HOOK QUARTER 3-3 ST. THOMAS U .6 . V. I, 00802 r trr 10 S I 2a Soo Porn27-814 PLOSS Irstans 11 120 12c ltd W-2VI U,S. Virgin Islands Wage and Tax Statement 2006 Dearman% of t Tawny -Internal ritmaar sarwco For Panty Mt rid Peponvork Reduction Ant Notice and hutnrallons, ma Fo
i l a =,— rjr lit 133.61 14 Olhar : 2" i L 's Ai AC Mt ads M ram Copy 1 -For VI Bureau of !Mom" Raven°. cc Copy D.For Employer IN-2111 U.S. Virgin Islands Wage end Tax Statement 2006 Far Copattrert of 'lip TrezLer-evarrert Pegenuo Sevres Pnvacy Act Om. Paperwork Roduellow Act ..ogee and Inr.euctlatra
w.1 *Ai 21277. ;;;$17,-•ii;i .. 21903. 21903 7 aods1 mania 0--xaal-,-60-7.•;;;e - - A 11 NonanaNd pin MCDONALD MORRELL 2auz -- 22rwV OMs US Virgin Islands Nan, Wage and Tax Statement Copy A ror Social Stioority Admbilatra1102 - 80011 tit 00211i pa", with Copy A of form W-S$S to Pia Social Seounty • Aprn
ana. Matelhappl, New 1.1eXto. Austin, IX 73301 North Carolina, Texas, Virginia Manses, Gonnececut. Delaware, Kentucky, Maine, Messachtdetts, Now Hampshire, New Jersey, New Yak, Ohio, Perinsyhanie, Fthode Said, Vermont, West Virginia Cirt:nnatl, OH 45999 Illinois, IS RIVAL lrAnsea, Preerygen. Minne
loot mama RODRIGUEZ 11 • Nanquntlbee Nano en Sec lieifg/.38 tnebvationn 18 :17= kr` M gr r-i 4-1 0 r 1.03 14 Other r I 2d T., W-2141 U,S. Virgin Islands VitegaandlaxStatemenrt Copy 1-Fa VI Bureau of Intemal Revenue or Copy D-For Employer 2005 Oopartmeot of the Trecotry—Intemei Revenue set-Vico For
7 5 haeckcere wegoteettgs3 3e e thadloare tax wthlteld 668.21 7 Sooiel eocurity Ups 9 Advance EIC 11 Nenqualliked Wen 13 I= 14 Other IN-2111 U.S. Virgin Islands Wage end Tax Statement 2006 12? 12d ;TAT:arm 133.61 Department of the Treasury—Int/mar Revenue Sinaloa For Privacy Act and Paperwork Reduction
, Mississippi, Now Maxie°, Austin, TX 73301 North Carolina, Texas, Virginia Arkansas, Connectiout, Delaware, Kentucky, Maine, Massachusetts, Now Hampshire, New Jersey, Now York, Ohio, Pennsyivan'a, Rhode Island, Vermont, West Virginia Cincinnati, OH 48999 Illinois, Indiana, Iowa, Kansas, Michigan,
uisiana. Mississippi. Tennessee. Texas. a foreign country. American Samoa. Pueno Rco. Guam. the Commonwealth of the Northern Mariana Islands. the U.S. Virgin Islands. or A.P.O. or F.P.O. address Internal Revenue Service RAIVS Team Stop 6716 AUSC Austin. TX 73301 512-460-2272 Alaska. Arizona. Arkansas. Ca
l or fax to Connecticut. Delaware. District of Columbia. Georgia. Illinois. Indiana. Kentucky. Maine. Maryland. Massachusetts. Michigan. New Hampshire. New Jersey. New York. North Carolina. Crio. Pennsylvania. Rhode Island. South Carolina. Tennessee. Vermont. Virginia. West Virginia. Wisconsi
nd dependent.). AI Covered Persons must have a Permanent Residence within the 50 United States of America. the District of Columbia. Puerto Rico. or the U.S. Virgin Islands. AI other persons are not Covered Persons under the Policy.' The definition of Domestic Partner. under section 2. items a and e are hereby removed
bers spouses (spouse includes person to whom the Insured Person is married or with whom the Insured Person has entered into a civil union under New Hampshire law) or Domestic Partners and dependent children. by blood or by law, under 26 years of age (dependent children include: your dependent children und
nd dependent.). AI Covered Persons must have a Permanent Residence within the 50 United States of America. the District of Columbia. Puerto Rico. or the U.S. Virgin Islands. AI other persons are not Covered Persons under the Policy.' The definition of Domestic Partner. under section 2. items a and e are hereby removed
bers spouses (spouse includes person to whom the Insured Person is married or with whom the Insured Person has entered into a civil union under New Hampshire law) or Domestic Partners and dependent children. by blood or by law, under 26 years of age (dependent children include: your dependent children und
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