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| Name: | Chuck Berry | Social Security #: | 111-22-3333 | ||
| Card ID | *None | Cost per Hr: | N/A | ||
| First Address: | 23 Main Street | Base Pay: | $35,000.00 | ||
| City State ZIP Code | Toontown NJ 07896 | Pay Basis: | Salary | ||
| Frequency: | Monthly | ||||
| Country: | US | Tax | PAPH | ||
| Phone # 1: | 555-5555 | ||||
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| Date: | 1/1/99 | ||||
| Date: | N/A | Federal Allowances: | |||
| Birth Date: | Extra Withheld: | ||||