gy wages 30695.54 4 Salo sotolity In MINIS 1903.12 "%isea."Tontin. 54 I WOMB tax withheld 445.09 7 Soot& aoce•fly tips 8 r . d 'ty number 9 Atherton EtO payment 10 e Umployoe'S find name and tablet ANN M Cm f •Debi edema ono IF• coda loot mama RODRIGUEZ 11 • Nanquntlbee Nano en Sec lieifg/.38