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EFTA00175998
t et the Treasury • Internet Revenue screw OMB No. 1645.0115 2004 Form 1099-MISC 4 federal Income tex tatted $ Miscellaneous - Income PAYER'S Federal Idendlicallon number 66-0”7418 ncsarmuor 1 u name, agoras', Ong Lir COW Cl.r.43.43.80 )t. LUC:CR-PAT . C 1 DPW): 7J'Crl StelkFain RECIPIENT'S Ida ulflontlan
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