AVENUE NEW YORK, NY MP code 10022 b &WS. r 0 E " :Sn Ilir— 7 Social security bps I AS I Advance ETC paymeot to Dependent care Imelda, 11 Nonsitmlified Plana 12 C 1 515.38 14 Other 'lab S I 10000.00 32.40 NYDD 12e I is 13 fitatemilflettrl petty slek py as Employee's name, *Mimeo and ZIP code t