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TEMPER, LLC Name of Employee Client 665 3rd St. Suite 517 San Francisco, California 94107 Managers Name Dept. PO # Phone # Ext. Week Ending Saturday Day Month/ Month/ Date / Tel: 4159741078 FAX: 8668406471,

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What is 665 3rd st?

665 3rd St is a fictional address used for the purpose of this example.

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Any individual or entity required by law to file this particular form.

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