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NIBIINIIIIIII �iII �NIIIH ��ItI �� �� to dtape ta�Jwagereports u p�tadrwdYaw ism'= die J Flo c" <br /> OIfARTEA ENDIM EMP S UP ACCOLW NUMgM . <br /> ono 0.11DOIr . <br /> iO. EMPLOYEE'SSOCWL "'Mft''fNUMB�i I1. EMPWYEE'8NAN1 g ceP�tasiMWwaq agtrmrromnemMfA�t tiaOAkQYE" G WA6E� MDTMgUAHTER ' <br /> aiaranen aflraumna n 12b. - 9MmOVEE S VXAM E WAM PAID 7N�QUW' <br /> nn onymasrsru�aw�oaeau erprayuepwatarrrstmado <br /> � i_. 7 � .� � 001 00000� 148 000rooI �J �.� L...1 • <br /> fNaas�te � � :rrr <br /> El <br /> SSb UU � ,r . <br /> El 0 <br /> I E] a � . coo <br /> n E] � � [JE]: E] O [] n Naive 0 D O L..J 4.. x 4 . J � 12b #� i E11 10 � 11 :. L_...11 <br /> [ �r'�'f jh'tA�6 f �'�.}. _ WIDE] <br /> rill 0 11 <br /> EJ 1 101 11 <br /> RV I <br /> N2ifie . l_.J. � LJ � tJ� .- w* iffi. a � � �.--i. . <br /> 11 000iQEO E4 <br /> Nat11e ,' rr <br /> 01111 ;011IniYfat . . 0 !ffi , ' a r <br /> 11013011 <br /> 19a Total tN 1Nages imdd Lines tYa onlyi. Tot Inthis <br /> Un page only ® 110 1011 ,1101141113 . <br /> Include thisand totals from additaitat :inline 2 on page 1 • 1C'`'t� � 1C'�1I f �I <br /> iib. „dude ftss and totals titian pages in Un*4 OnM16 :r L.� t , J lt�l u . EJ E <br /> DETACHL <br /> Mai! Reply. T'0: Social secu* numbm (SMS) are used by the Florida Depertn►ent.of Revenue as unique <br /> Unsrnployment Tax identifiers for the administration of FlodCfas taxes SSNs obtained for tax administration <br /> Florida gepartment of Revemie purpo§es are denW under sections 213.053 and 119071 , Florida Statutes,and not <br /> 5050 W Tennessee St Bldg l sub)ect to disclosure 1 .as public records. Collection of your SSN is authorized under state . <br /> Taliat►asste Fl 32399-0180 and federal taw. Vuff otu iritemet site www mytl0ridficbm/dor WNW "Rrivacy ' <br /> Notice" for more infomnation regarding the state and federal law governing the collection, <br /> use, or release of 5SNr; including aAmized exceptiom <br /> Tired of paperwork? We can helpf <br /> File and pay your FlorWa unemptoyment tax:ontine. <br /> It's fast, easy, accurate, and secure; <br /> Internet AddmW WWWA thiols c ftVDr <br /> _ i <br />