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CONTINUATION SHEET FOR FORM 209B DNS ID Number ___Quarter End Date ___Employer ___ Nonsocial SECURITY NUMBER___Page ___ of ___TOTAL WAGES PACIFIST NAME, MIDDLE INITIAL & LAST NAME OF EMPLOYEE1)$.2)$.3)$.4)$.5)$.6)$.7)$.8)$.9)$.10)$.11)$.12)$.13)$.14)$.15)$.16)$.17)$.18)$.19)$.20)$.21)$.22)$.23)$
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