CORRECTED PAYER'S nerve, street address, city. Rate, Illy ode, end telephone no n .I.W.A.:ClAra nun COqRAY4I r INC. 6.1QUAIBV- 1OOM Q'rRSI ”A aT. TuptiAs, USVX OnWL%-ls48 1 Remo 2 RoyNtbs OM No. 1545.0115 ?own 1080•MISC Miscellaneous Income 3 other Income 4 federal income tax WORM pAYER' S Fed