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us Income . 1 7 Nonomptom conlpansallon $ $ 6 WILD andWMcm plitrAIS Substitute open In feu of dM4t
Soda' security tax kt withhe 2462.42 6 Modlowo wageiN. d_thea716.5 Medicare tax vAthhold 575.89 9 Advance DC payment 11 NonquellFred plans 14 Othor a Control nwnbor 22222 ww O OMB No. 1646-0006 b Employer identlftcatron number (RIM 66-0567418 1 Wages, tea ether compensation 149125.46 2 V
g District Total Chat 25 J» 03 D.M RI // ONJI WILD 01,777 1,03 0.00 0.01 1.00 71 Dea 01 0903 I
.2004 710 continued... See Feebtetif Telecommunications Services Call Detail Wm■ Dols 11n10 Colt To Number Alluiloe Lissom Long Distance/ Othor Total Chines 153 Oct 19 04./4 IN IMIRMINIIC.CA PP 1.10 0.40 0.00 0.40 154 Oct 19 05451 IM lumen, FP 1,40 0.40 0.00 0.40 17.5 Oct 19 04
CATIONSTAX 911 moNntll TOTALC:O%1M NNIRN r Errs Wild TANKS $105 18 TOTAL AMOUNT DU E. $698.94 Usag
A2 Out 0.00 SS 04/10 11:57414 MTN Other Nag MT In 0.00 54 04/10 11:S003, OTMZR 14151/.4 TO Mg NPA2 Out 0.00 57 04 /10 05:2314 MTh Othor Mg MPA2 In 0.00 50 04/ 30 042279N 0171M1 11057131 TO Mg MAI Out 0.00 59 to. 04/11 07:234.11 frM Other Meg WA/ In 0.00 CO 04/11
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