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EFTA00175998
100 RED HOOK QUARTER 8-3 ST. THOMAS . 00802 3 Social Bawdy wages 24063.91 4 Scelal security 1w wkhhokl 1491.96 5 Mettlexo wngeletrbilgb . 91 6 Medicare Nut with348.93 7 Social sevolly OS aY p0•• 1 123 Soo Form lAh.3.55 Inshvolons S 1297.84 d Employee's social security number 580-29-3823 9 Advance
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