8 7 Sacral security dirt d Employee's Tay number o EmA ployee.° fast nome end Ira DALE Employee's addrecs and DP code " gr9IPIAN GORDON 2004 Departrnont of the Treasury - Memel Revenue Øc For Prtvacy Act and Paperwork Reduction Act Nod° and instructions, ace Fonn W-39: Formiwn , VergRn Ise:lads gi Wage and Tax Statement Copy D F