v2347-885

7(J

Mb Ho. MIM ^ ^ ^ / .

NAMC

TOTAL TIMC^-Wyd.-.TTMR*. RTI .

(MOUNT OUI FOX ABOVC '..AC..

HieilVID TNI AaOVC AMOUNT

THIS SIDE OUT

-No.

ui

NAME

1. Af. PORTER

hiMDCTIlfE LIBOR

HOURS

AMOUNT 1

GROUP No.

GROUP No.

GROUP No.

NONPROEUCTiVE

DAY WORK

OVERTIME PREf/ilU"4

ap-

TOTAL

/30^

u

STATE 1 ,

U.I. TAX 1

i7y

FEDERAL

1. A B. t;x

d

BENEFIT A.-JD

GROUP INS.

i

tOt

OTHER

DEDUCTIONS

1

X

sji

NET EARNINGS

79 L^

PAID - CHECK NO.

^tM or iirria

I C0KP0UTI04

---

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