lodiormon S 240.40 PU1 1,"K" 17,77 %tp, ,fiz 2 ,.„ / /‘. • ' /# • 'U.S. Virgin 1s£amcis Foist Wage and "ratK Stenenterit Copy A, For Social Security Minintatration Sand thle entire page with Copy A of Form W-SSS to lho Social So:leray Administration; phei000plas are not anraptchlo. Cat. No. 409770 • .! • id/ .