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Bitmap Image  |  1994-12-31  |  894KB  |  2272x3148
Labels: crt screen | dialog box | reckoner | sky | trade name | window
OCR: TCT 4070 Employee's Report Rev Apil 199/ OMB 1 epar. en of 1e Ineaser Employer Iena Hevende 9ervi For Paperwork Reduction Act Notice, back of this farm Emplovee naTe a-d address Social security numbet Emplpyer name anc adcress nclude establishmenl name .J!p eren..] Manta ar storer peiod ir whct tios wcre Tips: froiT Signa:Jc Dax TOHT Iepar April 1015 Paperork Notics form number Emplover nckide establishment Mant Lios SignJ