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This is a Two Sided Document NOT APPROVED BY AGENCY 12/5/2013 APA Project Permit 2013239 P.O. Box 99 Ray Brook, New York 12977 (518) 8914050 www.apa.ny.gov In the Matter of the Application of LYME
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This refers to Form W-2, which is a wage and tax statement that employers must provide to their employees.
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