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EFTA00186312
ction Act Notice, see the 2003 General Instructions for Forms 1099, 1098, 5498, and W-26. 57 stateiPayers state no. le State Income A _s Department of the Treasury • Intemal R.v.no EFTA00186321 9 595 D VOID ID CORRECTED . PAYER S nom buret address. city. slate. ZIP mere. and tetphone no. JEGE, Inc. C/0 George V. Delson
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