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I~1 Izl S oAY AND DAte 141 Isl 161 RI Isl 19! IUD) I~~1 - <br /> NAME. AOORESS AND TRADE. D IO TOTAI lASIC NouRLY FRailiE DROSS TOTAL NET wAaE NOUIRY iRaIOE NAME of SENEfR FARTr. <br /> SOMt SEMafY TxASSIEN;AiION HOURS NOLNLLY rEt1ERR FAro ~ AMOUNi DEDUCTION FAE/ FOR aENEEIi FAE) T KAN, ftN1D. OR <br /> M1Ma[R Of EMKOYEE DNCIUDE GROl1F RATE Of WAGE TO EARNED fICl1. iED. WEEK FARTY. KAN. ?ROGMM <br /> Ei AMIICMl4 ~ ~ FAY EMItOYEE STATE. ETC fUNO OR <br /> HOURS WORKED EACH DAY iROGRAM <br /> Daie Whitlock i OT 23 7~1 <br /> 741 Krewson Ln. GROUP 3~ J ~i (o Jr <br /> DraM, OR 97435 ~ LABORER 53 l89•bz ~'2•`7 )9b•gs <br /> 542-96-3541 S 1, Q <br /> ~ OT <br /> lames Catlahan 33.78 <br /> 26805 FBih Pass Rd~ <br /> )unction CkY. OR 97448] GROUP 3 I 9• ~p.~ 90 57.42 ~t52.4$ <br /> 569-90-7741 LABORER <br /> ~ B 5 5 ~z.53 <br /> °T _ 33 79 <br /> Ale)andro Perez <br /> 2090 Roouvek Blvd GROUP 3 ~ Jr 1 ~ 90 8.3 ~ ~Gt , 07 <br /> EuEene• OR 974021 LABORER C ~z•$3 ! • 1 <br /> 543-61-3841 i ' ~ S ~ J s . <br /> I <br /> i <br /> Hkhael Ameluns OT 33 • `'q <br /> 4141 Oakwood Dr. I GROUP 3 ~ 9 • ~/pp •40 ~ sj, 05 { !5.85 <br /> Oakland OR 9746I!~ LABORER i S / <br /> 541-98-7040 1 ~ K q z. $3 <br /> OT - •433.79 <br /> Hunkers Q <br /> 226 SE Stele 5tI GROUP 3 I 7 • ~OJ` - ^ <br /> Portland, OR 97266 LABORER i S <br /> 543-23-8451 ! ; Z Z • $3 <br /> ' °T 33.74 <br /> Scan lee S <br /> 9226 SE Steele St ~ GROUP 3 ; 9 • ~ <br /> Portland OR 972661 LABORER ~z •$3 <br /> 576-33-4899 S <br /> i <br /> °T - 33.79 <br /> 540-1~1-2825 i GROUP 3 ~ ~S <br /> LABORER ' S <br /> zz.s3 <br /> oT - 33.74 <br /> ~5 _ _ _ <br /> s Zz s3 <br /> <br /> r <br /> + THIS fOIW CONTMUED ON REVERSE <br /> E°RM VYH•361FlEV. 6186) <br /> <br />