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EFTA00175998
00802 I Employocio aldrene ond ZIP coda Copy II -• For Emp:cycr 1 %pek Gpe, othercomposelca 40047.86 3 Sodd tocuely worto 41285.35 2 VI boom° bx vAthhold 1586.00 4 Soclal aeourity lax ~luid 2559.69 B B1O.„... l•mnewagaffIgpg 7 Soda' stemde/ Opa 9 mvenco Elc payment 11 Non:0009d pleno 14 Other
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