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EFTA00175998
9 11 Nencluallfied plane 13 tether gram e 14 Othcr 2 VI Income trot wIllthe'd 4448.00 Soda' security tax Withheld 4 2857.17 0 Medicare tax wIthlteld 668.21 rasa' re' '33.61 2006 124 Department of the Treasury—Intern* liovenua Service For Privacy Act anti Paperwork Reduction Act Notice and
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