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135 r60 oOcc111cc4: 1 oV2. I'$:O 1 No40Dat Time to :redox×signature) Relinquished no, Signature)Received for LaborReceisbybyvStvSTATION LATION1gnat.ci8J Ra O&68VUD swooning.1CM p Her i O 1 4 O J
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i is a form used for reporting various types of income, such as wages, salary, and tips.
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