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�f <br /> KEEP THIS STUB <br /> i <br /> PAYROLL NO. <br /> ••• D PERIOD COVERED <br /> .3 <br /> q DUE DATE <br /> 1 <br /> 3 TAX WITHHELD <br /> 0 <br /> $ <br /> AMOUNT PAID <br /> S <br /> DATE MAILED <br /> CHECK NUMBER <br /> i <br />