ite care ?Owes S State Copy or Extra ! File Copy RECIPIPN7'S memo, addrose, and ZIP mode PATTON BOGCS LW' Account number (sae Int./yellow) 7 Norrenttotate oompensation $ 71150,00 9 Payer meal dente sties of 15.008 or mere of wearier product to a trier (redolent) for resole le. K 11 $ 10 Stab tax